person
Mr. Paul Anthony Licata, PA-C
Surgical Physician Assistant in Pembroke Pines, Florida
NPI 1336187996

Paul Anthony Licata is a Surgical Physician Assistant based in Tamarac, FL and is specialized in Surgical. Paul Anthony Licata practices in Pembroke Pines, FL and has the professional credentials of PA-C. The NPI Number for Paul Anthony Licata is 1336187996 and holds a License No. PA9102128 (Florida).

The current practice location address for Paul Anthony Licata is 601 N Flamingo Rd, Pembroke Pines, FL and can be reached out via phone at 954-724-0276.

Location: 601 N Flamingo Rd, Pembroke Pines, FL, 33321-1441
person
Provider Profile Details
NPI Number
1336187996
Provider Name
Paul Anthony Licata
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
601 N Flamingo Rd, Pembroke Pines, FL, 33321-1441
Phone Number
954-724-0276
Fax Number
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
601 N Flamingo Rd
City
State
Zip
33028-1015
Phone Number
954-724-0276
Fax Number
person
Provider Business Mailing Address Details
Address
601 N Flamingo Rd
City
State
Zip
33028-1015
Phone Number
954-724-0276
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9102128 (Florida)
Definition
Definition to come...
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