DR. Mark R Licht, M.D.

NPI #1306841473 in Orlando, Florida

Provider Information

NPI Number
1306841473
Entity Type
Individual
Name
DR. Mark R Licht, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Urology
Credential
M.D.
Enumeration Date
Jun 16, 2005
Last Updated
Apr 29, 2025

Practice Location

Address
258 S CHICKASAW TRL STE 202
State
Florida
ZIP Code
32825-3501
Phone
(407) 303-6865

Specialties & Taxonomy Codes

Specialty
Specialist
Urology

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