Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark R Licht, MD

Individual provider Urology Physician · NPI 1306841473

Dr. Mark R Licht, MD is an Urology in Orlando, Florida. Graduated from University of Rochester School of Medicine and Dentistry in 1988, 38 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
38
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

258 S Chickasaw Trl Ste 202
Orlando, FL 32825-3501
Phone: (407) 303-6865
Fax: (407) 303-6537
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 — (863) 680-7000
  • 825 Century Medical Dr, Titusville, FL 32796-2113 — (321) 268-6868

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME68004 (FL)

Record details

NPI number1306841473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address805 Century Medical Dr Ste C, Titusville, FL 32796-2100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1988 (38 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orlando