Joseph Lewis Licht
Ophthalmologist Neuromusculoskeletal Medicine (NMM)
2489 Diplomat Pkwy E
Cape Coral
, Florida 33909-5422
Joseph Lewis Licht
Ophthalmologist Neuromusculoskeletal Medicine (NMM)
2489 Diplomat Pkwy E
Cape Coral
, Florida 33909-5422
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Joseph Lewis Licht
- 3252 Magnolia Landing Ln
- North Fort Myers, FL
- Zip : 33917-7807
- Phone :
Second Address
- Joseph Lewis Licht
- 2489 Diplomat Pkwy E
- Cape Coral, FL
- Zip : 33909-5422
- Phone : (239) 652-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS16173 | FL |
| Y | 207W00000X | Ophthalmologist | OS16173 | FL |
National Provider Identifier
| NPI | 1497147680 |
|---|---|
| Provider Name | Joseph Lewis Licht |
| First Address | North Fort Myers, FL 33917-7807 |
| Second Address | Cape Coral, FL 33909-5422 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2015 |
| Last Update Date | 22/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.