Search › Florida › 106S00000X
Michael Licona
NPI 1023842267 · on the registry since 2024 · sole proprietor
Practice
- Address
- 15010 Sw 307th St
Homestead, FL 33033 - Phone
- (305) 519-5205
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida