Ms Patty C Licata, PT | |
1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | |
(386) 851-0901 | |
(386) 851-2426 |
Full Name | Ms Patty C Licata |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 42 Years |
Location | 1565 Saxon Blvd, Deltona, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780624734 | NPI | - | NPPES |
Y094Q | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT13460 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orlando Health Medical Group Inc | 9537059084 | 1478 |
Provider Name | Orlando Health Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
---|---|
Ms Patty C Licata, PT 701 Platinum Pt, Fl 4, Lake Mary, FL 32746-4871 Ph: (407) 206-4500 | Ms Patty C Licata, PT 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 Ph: (386) 851-0901 |
Jamal Rashad Daniels, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1851 Elkcam Blvd, Deltona, FL 32725 Phone: 386-789-3769 | |
Samuel Lavarias, P.T.,D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 829 Deltona Blvd Ste 204, Deltona, FL 32725 Phone: 386-259-9838 Fax: 386-259-9834 | |
Kharisma Jay Paje Soriano, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1851 Elkcam Blvd, Deltona, FL 32725 Phone: 386-789-3769 | |
Macy Allen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1851 Elkcam Blvd, Deltona, FL 32725 Phone: 386-789-3769 | |
Lars Negre, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1851 Elkcam Blvd, Deltona, FL 32725 Phone: 386-789-3769 | |
Dr. Lauren New, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1565 Saxon Blvd Ste 301, Deltona, FL 32725 Phone: 386-851-0901 Fax: 386-851-2426 | |
Ashley Nichole Kiely, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1565 Saxon Blvd Ste 301, Deltona, FL 32725 Phone: 386-851-0901 Fax: 386-851-6320 |