Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. PAUL ANTHONY LICATA PA-C
NPI 1336187996
Physician Assistant - Surgical in Pembroke Pines, FL

Active since June 03, 2006PECOS Enrolled
601 N FLAMINGO RD, PEMBROKE PINES, FL 33028(954) 724-0276 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul Anthony Licata Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL ANTHONY LICATA PA-C (NPI 1336187996) is an individual surgical provider in Pembroke Pines, Florida, licensed in Florida (PA9102128) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1336187996
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. PAUL ANTHONY LICATACredential: PA-C
Location Address601 N FLAMINGO RDPembroke Pines, FL 33028-1015
Mailing Address8105 Nw 94th AveTamarac, FL 33321-1441 · (954) 724-0276
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1336187996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9102128
601 N FLAMINGO RD, Pembroke Pines, FL 33028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Anthony Licata Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901387372
PECOS Enrollment IDI20260224001914
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
601 N FLAMINGO RD, SUITE 418
PEMBROKE PINES, FL 33028
Anesthesiology
601 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Surgery
601 N FLAMINGO RD, SUITE 409
PEMBROKE PINES, FL 33028
Social Worker (Clinical)
601 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Orthopaedic Surgery
601 N FLAMINGO RD, SUITE 101
PEMBROKE PINES, FL 33028
Internal Medicine
601 N FLAMINGO RD, SUITE #201
PEMBROKE PINES, FL 33028
Family Medicine
601 N FLAMINGO RD, SUITE 103
PEMBROKE PINES, FL 33028
Internal Medicine (Cardiovascular Disease)
601 N FLAMINGO RD, SUITE 403
PEMBROKE PINES, FL 33028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Licata's NPI number?

The NPI number for Paul Licata is 1336187996. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Paul Licata located?

Paul Licata practices at 601 N Flamingo Rd, Pembroke Pines, FL 33028. The listed phone number is (954) 724-0276.

What is Paul Licata's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Paul Licata enrolled in Medicare?

Yes. Paul Licata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Paul Licata was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.