Organization
LICHT MEDICAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LICHT DO (OWNER)
(325) 509-6266
Entity
Organization
Contact information
Practice address
1100 N LYLE AVE, CRYSTAL RIVER, FL 34429-8741
(352) 320-2007
Mailing address
1100 N LYLE AVE, CRYSTAL RIVER, FL 34429-8741
(352) 320-2007
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
01/26/2026
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