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1336187996
PAUL ANTHONY LICATA
PEMBROKE PINES, FL
NPI
1336187996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL pa9102128)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
Mr. PAUL ANTHONY LICATA PA-C
601 N FLAMINGO RD
PEMBROKE PINES, FL 33028-1015
Phone number: 954-724-0276
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Mailing Address
Mr. PAUL ANTHONY LICATA PA-C
8105 NW 94TH AVE
TAMARAC, FL 33321-1441
Phone number: 954-724-0276
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