| Mr Paul Anthony Licata, PA-C | |
|
601 N Flamingo Rd, Pembroke Pines, FL 33028-1015 | |
| (954) 724-0276 | |
| Not Available |
| Full Name | Mr Paul Anthony Licata |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 601 N Flamingo Rd, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336187996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9102128 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Anthony Licata, PA-C 8105 Nw 94th Ave, Tamarac, FL 33321-1441 Ph: (954) 724-0276 | Mr Paul Anthony Licata, PA-C 601 N Flamingo Rd, Pembroke Pines, FL 33028-1015 Ph: (954) 724-0276 |
Edith Ruiz Snelling, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 N Flamingo Road, Suite 408, Pembroke Pines, FL 33028 Phone: 954-844-1617 | |
Sherbie Darbouze, Physician Assistant Medicare: Medicare Enrolled Practice Location: 6818 Sw 9th St, Pembroke Pines, FL 33023 Phone: 954-815-1411 | |
Ms. Odilie Amber Reinosa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Sw 129th Ave Ste 201, Pembroke Pines, FL 33027 Phone: 954-430-9898 Fax: 954-430-9677 | |
Adens Previlon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026 Phone: 954-538-8543 Fax: 954-431-8153 | |
Milangel Sofia Collins, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11300 Sw 13th St Apt 202, Pembroke Pines, FL 33025 Phone: 954-391-3729 | |
Yilian Perez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12309 Pembroke Rd, Pembroke Pines, FL 33025 Phone: 954-432-6595 | |
Pria Vattamparambil, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1560 Nw 140th Mnr, Pembroke Pines, FL 33028 Phone: 952-701-6623 |