Healthcare Provider Details
I. General information
NPI: 1710811120
Provider Name (Legal Business Name): SAPPHIRE LIGHT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
806 NW 16TH AVE STE 623
GAINESVILLE FL
32601-4012
US
IV. Provider business mailing address
806 NW 16TH AVE STE 623
GAINESVILLE FL
32601-4012
US
V. Phone/Fax
- Phone: 878-285-0244
- Fax: 888-804-0426
- Phone: 878-285-0244
- Fax: 888-804-0426
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUHAMMAD KAMAL
AHMAD
Title or Position: OWNWE
Credential:
Phone: 878-285-0244