Paul Anthony Licata in Tamarac - Surgical
Paul Anthony Licata - NPI 1336187996
Paul Anthony Licata is a Surgical in Tamarac, Florida. Paul Anthony Licata practices all healthcare services and medical treatments related to Surgical. The NPI Number for Paul Anthony Licata is 1336187996. The last update date is 2007-07-08.
Paul Anthony Licata's current location address is 8105 Nw 94th Ave, Tamarac, Florida. You can contact this provider via phone number 9547240276. The mailing address for Paul Anthony Licata is 8105 Nw 94th Ave, Tamarac, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Anthony Licata |
|---|---|
| Address | 8105 Nw 94th Ave, Tamarac, Florida |
| Phone Number | 9547240276 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1336187996 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8105 Nw 94th Ave |
|---|---|
| City | Tamarac |
| State | Florida (FL) |
| Post Code | 333211441 |
| Phone Number | 9547240276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9102128 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identifier code issued to Paul Anthony Licata by the Centers for Medicare & Medicaid Services?
The Paul Anthony Licata has been assigned the NPI (National Provider Identifier) 1336187996. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Paul Anthony Licata is physically located?
The Paul Anthony Licata is situated at the following address: 8105 Nw 94Th Ave, Tamarac, FL 333211441.
What is Paul Anthony Licata's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Anthony Licata's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336187996 to Paul Anthony Licata?
The Centers for Medicare & Medicaid Services originally issued the 1336187996 to Paul Anthony Licata on 2006-06-03.
As of what date was the information regarding Paul Anthony Licata, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul Anthony Licata, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.