Paul Licata, PA-C
NPI 1336187996 · Surgical Physician Assistant · Pembroke Pines, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Licata, PA-C is a Surgical Physician Assistant provider in Pembroke Pines, FL (NPI 1336187996).
Provider details
- NPI number
- 1336187996
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- License
- PA9102128 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Paul Licata's NPI number?
- Paul Licata's National Provider Identifier (NPI) is 1336187996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Licata's specialty?
- Paul Licata is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Paul Licata located?
- Paul Licata's practice location on file with NPPES is 601 N Flamingo Rd, Pembroke Pines, FL 33028-1015.
- What is Paul Licata's phone number?
- The practice phone number listed in the NPPES registry for Paul Licata is (954) 724-0276.
- Does Paul Licata accept Medicare?
- Paul Licata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Licata's NPI active?
- Yes — Paul Licata's NPI (1336187996) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.