Licata, Michael John
Licata, Michael John is an individual health care provider with primary practice located at 300 Pinellas St , Clearwater FL 33756-3804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Licata, Michael John can be contacted via phone (727) 734-6635.Contact Information
Primary practice address
300 Pinellas St
Clearwater FL 33756-3804
Phone: (727) 734-6635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 0101239523 | Virginia |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME144327 | Florida |
Profile Details
| NPI number | 1780664961 |
|---|---|
| LBN Legal business name | Licata, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2006 |
| Last updated | Jul 15th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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