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1770573982
MARK O. LICHT
CLEARWATER, FL
NPI
1770573982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME43994)
Enumeration Date
2005-10-27
Last Update Date
2007-07-09
Business Address
Dr. MARK O. LICHT M. D.
1106 DRUID RD S SUITE 302
CLEARWATER, FL 33756-3846
Phone number: 727-441-3711
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Mailing Address
Dr. MARK O. LICHT M. D.
PO BOX 660
CLEARWATER, FL 33757-0660
Phone number: 727-793-9300
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