Licata, Paul Anthony

Licata, Paul Anthony is an individual health care provider with primary practice located at 601 N Flamingo Rd , Pembroke Pines FL 33028-1015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Licata, Paul Anthony can be contacted via phone (954) 724-0276.

Contact Information

Primary practice address
601 N Flamingo Rd Pembroke Pines FL 33028-1015
Phone: (954) 724-0276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102128 Florida

Profile Details

NPI number 1336187996
LBN Legal business name Licata, Paul Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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