MR. PAUL ANTHONY LICATA (NPI# 1336187996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336187996 |
| Entity Type | Individual |
| Full Name | MR. PAUL ANTHONY LICATA |
| Credential | PA-C |
| Practice Address |
601 N Flamingo Rd Pembroke Pines FL 33028-1015 |
| Mailing Address |
8105 Nw 94th Ave Tamarac FL 33321-1441 |
| Practice Telephone | 9547240276 |
| Mailing Telephone | 9547240276 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102128 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036981 | Paul J Licata | Internal Medicine | 492 Montauk Ave, New London, CT 06320-4615 | 2005-07-07 |
| 1740361518 | Paul John Licata | Family Medicine | 1717 E Lincoln Ave, Anaheim, CA 92805-4345 | 2006-10-18 |
| 1790772002 | Paul Licata | Radiology | 629d Lowther Rd, Lewisberry, PA 17339-9527 | 2005-10-03 |
| Street Address |
601 N FLAMINGO RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034341 | Daniel A Sheldon | Orthopaedic Surgery | 601 N Flamingo Rd, Ste 213, Pembroke Pines, FL 33028-1015 | 2005-06-23 |
| 1073145504 | Keanne Owens | Social Worker | 601 N Flamingo Rd, Pembroke Pines, FL 33028-1015 | 2020-02-12 |
| 1801382171 | Podiatry Asssociates Inc | Podiatrist | 601 N Flamingo Rd, Ste 104, Pembroke Pines, FL 33028-1007 | 2018-07-10 |
| 1417312224 | Samuel M Freedman,md | Pediatrics | 601 N Flamingo Rd, Suite 207, Pembroke Pines, FL 33028-1015 | 2015-12-21 |
| 1437522133 | Manuel Alberto Nucete Viani | Specialist | 601 N Flamingo Rd, Ste 308, Pembroke Pines, FL 33028-1015 | 2015-11-04 |
| 1285001156 | Southeast Perinatal Associates, Inc. | Obstetrics & Gynecology | 601 N Flamingo Rd, Suite 211, Pembroke Pines, FL 33028-1015 | 2015-08-27 |
| 1538547096 | Sahar S Amini | Internal Medicine | 601 N Flamingo Rd, Suite 407, Pembroke Pines, FL 33028-1015 | 2015-05-15 |
| 1124415963 | Comprehensive Cardiology Consultants LLC | Internal Medicine | 601 N Flamingo Rd, Suite 107, Pembroke Pines, FL 33028-1015 | 2015-04-20 |
| 1881013746 | Renal Group of South Florida, Inc. | Internal Medicine | 601 N Flamingo Rd, Suite 104, Pembroke Pines, FL 33028-1015 | 2014-04-08 |
| 1528481850 | Children Medical Care Inc | Clinic/Center | 601 N Flamingo Rd, Suite 307, Pembroke Pines, FL 33028-1015 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417282849 | Pedro Acosta | Physician Assistant | 10682 Sw 8th St, Pembroke Pines, FL 33025-6927 | 2009-10-02 |
| 1679618458 | Raul A Gonzalez | Physician Assistant | 446 Sw 191st Ter, Pembroke Pines, FL 33029-5463 | 2007-02-20 |
| 1013029123 | Edith Ruiz Snelling | Physician Assistant | 601 N Flamingo Road, Suite 408, Pembroke Pines, FL 33028 | 2006-08-31 |
| 1962860312 | Ernesto Rafael Figueroa | Physician Assistant | 8280 Nw 28th St, Pembroke Pines, FL 33024-3185 | 2016-01-31 |
| 1225061781 | Tammy A Dorfman | Physician Assistant | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.