Individual
STEVEN LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4109 N FEDERAL HWY, FT LAUDERDALE, FL 33308-5530
(954) 563-2707
(954) 563-7009
Mailing address
4109 N FEDERAL HWY, FT LAUDERDALE, FL 33308-5530
(954) 563-2707
(954) 563-7009
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
057703
FL
207Q00000X
Family Medicine Physician
057703
FL
Other
Enumeration date
08/04/2006
Last updated
03/26/2010
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