MR. PAUL ANTHONY LICATA PA-C
NPI 1336187996
Physician Assistant - Surgical in Pembroke Pines, FL
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
Specialties & Licenses
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.
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.
PEMBROKE PINES, FL 33028
PEMBROKE PINES, FL 33028
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.