Individual provider · Type 1 NPI

Mark R. Licht, MD

Urology Physician · Orlando, FL

NPI number 1306841473 Active

Practice location

258 S Chickasaw Trl Ste 202
Orlando, FL 32825-3501

Call (407) 303-6865 Map

Fax (407) 303-6537

Mailing address

805 Century Medical Dr Ste C
Titusville, FL 32796-2100

Other practice locations

  • 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 · (863) 680-7000
  • 825 Century Medical Dr, Titusville, FL 32796-2113 · (321) 268-6868

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XME68004 (FL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

6 other providers at this address

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About NPI 1306841473

Mark R. Licht, MD's National Provider Identifier is 1306841473, issued on Jun 16, 2005. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Orlando, FL. The record was last updated on Jul 17, 2026.