Licht, Joseph Lewis

Licht, Joseph Lewis is an individual health care provider with primary practice located at 2955 Brownwood Blvd Ste 303 , The Villages FL 32163-2040. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Licht, Joseph Lewis can be contacted via phone (352) 350-8484.

Contact Information

Primary practice address
2955 Brownwood Blvd Ste 303 The Villages FL 32163-2040
Phone: (352) 350-8484
Fax: (352) 751-9850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X OS16173 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS16173 Florida
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS16173 Florida

Profile Details

NPI number 1497147680
LBN Legal business name Licht, Joseph Lewis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Apr 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497147680 NPPES
Florida MEDICAID 112937700

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