| Entity Name: | TIMOTHY L. LIGHT D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 May 2019 (6 years ago) |
| Document Number: | P12000060778 |
| FEI/EIN Number | 460572387 |
| Address: | 1573 South Fort Harrison, Clearwater, FL, 33756, US |
| Mail Address: | 1573 South Fort Harrison, Clearwater, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306191028 | 2012-07-18 | 2012-07-18 | 1573 S FORT HARRISON AVE, CLEARWATER, FL, 337562004, US | 1573 S FORT HARRISON AVE, CLEARWATER, FL, 337562004, US | |||||||||||||||||||
|
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| Phone | +1 727-584-8777 |
| Fax | 7272166117 |
Authorized person
| Name | DR. TIMOTHY LEE LIGHT |
| Role | PRESIDENT |
| Phone | 7275848777 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS11758 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LIGHT TIMOTHY L | Agent | 1573 S FORT HARRISON AVE, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| LIGHT TIMOTHY | Director | 1573 SOUTH FORT HARRISON, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| LIGHT TIMOTHY | President | 1573 SOUTH FORT HARRISON, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-05-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-11-26 | LIGHT, TIMOTHY L | No data |
| REINSTATEMENT | 2014-11-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-11-26 | 1573 S FORT HARRISON AVE, CLEARWATER, FL 33756 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-23 | 1573 South Fort Harrison, Clearwater, FL 33756 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-23 | 1573 South Fort Harrison, Clearwater, FL 33756 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-07-02 |
| REINSTATEMENT | 2019-05-08 |
| ANNUAL REPORT | 2016-05-11 |
| ANNUAL REPORT | 2015-09-02 |
| REINSTATEMENT | 2014-11-26 |
| ANNUAL REPORT | 2013-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
