MARK R LICHT

ORLANDO, FL
NPI1306841473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: FL  ME68004)
Additional Taxonomies174400000X Specialist
(Licence: FL  ME68004)
Enumeration Date2005-06-16
Last Update Date2025-04-29
Business Address
Dr. MARK R LICHT M.D.
258 S CHICKASAW TRL STE 202
ORLANDO, FL 32825-3501
Phone number: 407-303-6865
Mailing Address
Dr. MARK R LICHT M.D.
805 CENTURY MEDICAL DR STE C
TITUSVILLE, FL 32796-2100
Phone number: 321-268-6868