Individual
DR. PATRICK VILLICANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 NW 84TH AVE STE 300, PLANTATION, FL 33324-1859
(954) 474-2929
(954) 474-9708
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME105141
FL
208800000X
Urology Physician
TRN7728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12391
DIMENSIONS HEALTH
FL
01
—
146WM
BCBS FL
FL
01
—
336048
AVMED
FL
01
—
4465503
CIGNA
FL
01
—
9763431
AETNA
FL
01
—
F00314331603
UNITED HEALTHCARE
FL
01
—
P943004
OPTIMUM
FL
01
—
P983677
FREEDOM HEALTH
FL
01
—
PRL00000274175
PREFERRED MEDICAL PLAN
FL
01
—
QMP000003918664
MOLINA
FL
Enumeration date
11/30/2006
Last updated
04/24/2025
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