Individual
JOSEPH LEWIS LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 N LYLE AVE, CRYSTAL RIVER, FL 34429-8741
(352) 320-2007
(305) 675-3370
Mailing address
4330 SHERIDAN ST # 102B, HOLLYWOOD, FL 33021-1407
(954) 287-2010
(305) 723-1910
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS16173
FL
207W00000X
Ophthalmology Physician
Primary
OS16173
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
OS16173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112937700
—
FL
Enumeration date
02/24/2015
Last updated
01/26/2026
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