Dr Mark O Licht, M D - Radiology in Clearwater, FL

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Dr Mark O Licht, M D is a Radiology - Diagnostic Radiology physician based in Clearwater, Florida. Dr Mark O Licht is licensed to practice in Florida (license number ME43994) and his current practice location is 1106 Druid Rd S, Suite 302, Clearwater, Florida. He can be reached at his office (for appointments etc.) via phone at (727) 441-3711.

NPI number for Dr Mark O Licht is 1770573982 and his current mailing address is Po Box 660, Clearwater, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770573982.

Contact Information

Dr Mark O Licht, M D
1106 Druid Rd S, Suite 302,
Clearwater, FL 33756-3846
(727) 441-3711
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark O Licht
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1106 Druid Rd S, Clearwater, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770573982
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Mark O Licht such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770573982NPI-NPPES
01481OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME43994 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark O Licht is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark O Licht, M D
Po Box 660,
Clearwater, FL 33757-0660

Ph: (727) 793-9300		Dr Mark O Licht, M D
1106 Druid Rd S, Suite 302,
Clearwater, FL 33756-3846

Ph: (727) 441-3711

Reviews and Comments


Radiology Doctors in Clearwater, FL

Dr. Gerald L Friedman, D.O.
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Dr. Alex J. Weiss, M. D.
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Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756
Phone: 727-441-3711    
Dr. Upen J. Patel, M. D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756
Phone: 727-441-3711    

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