Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Paul Anthony Licata, PA-C

Individual provider Surgical Physician Assistant · NPI 1336187996

Mr. Paul Anthony Licata, PA-C is a Physician Assistant in Pembroke Pines, Florida. Qualified in 2002, 24 years ago. Practices with Warm Springs Health and Wellness Dhhs IHS Warm Springs Service Unit, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

601 N Flamingo Rd
Pembroke Pines, FL 33028-1015
Phone: (954) 724-0276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9102128 (FL)

Record details

NPI number1336187996
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Warm Springs Health And Wellness Dhhs Ihs Warm Springs Service Unit — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pembroke Pines