MEDICARE: CAMERON MARIA LIGHT LM CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	MW513	FL

General Provider Information

NPI Number	:	1295668853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON MARIA LIGHT LM CPM

Provider Business Mailing Address
First Line	:	22204 LASALLE RD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-4510
Country	:	US
Telephone Number	:	941-875-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 TAMIAMI TRL UNIT 101
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33953-3102
Country	:	US
Telephone Number	:	941-249-4915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1588116560 — NANCI LEKOV
Practice Location Address:

950 TAMIAMI TRL UNIT 103
PORT CHARLOTTE, FL
33953-3102

Practice Phone: 941-766-1996
Practice Fax: 941-766-1807

1265043889 — SUMMIT MATERNITY CARE CENTER
Practice Location Address:

950 TAMIAMI TRL UNIT 101
PORT CHARLOTTE, FL
33953-3102

Practice Phone: 941-264-6084
Practice Fax: 570-227-2306

1679270862 — TAMISA LATOYA ROSS LPC-A
Practice Location Address:

3225 LAKE ARTHUR DR APT 3102
PORT ARTHUR, TX
77642-7621

Practice Phone: 409-351-6835
Practice Fax:

1902788664 — GOLDEN THREAD HOME CARE LLC
Practice Location Address:

3102 SABA LN
PORT NECHES, TX
77651-5422

Practice Phone: 409-288-0961
Practice Fax:

1750922118 — VIDHI KISHOR PATEL NP
Practice Location Address:

3158 FREEDOM DR STE 3102
CHARLOTTE, NC
28208-0014

Practice Phone: 704-348-2992
Practice Fax: 704-971-0035

1881527471 — SUMMIT TRANSIT GROUP LLC
Practice Location Address:

5960 FAIRVIEW RD
CHARLOTTE, NC
28210-3102

Practice Phone: 980-438-0605
Practice Fax:

Directions to “ CAMERON MARIA LIGHT LM CPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.