Virginia Board of Medicine Practitioner Information

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Robert M Licata, MD

LICENSE # 0101027066
  rmlic9@gmail.com

Issue Date: 5/1/1976
Expiration Date: 9/30/2024
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 9/29/2022
Coastal Horizons Center
120 Coastal Horizons Drive
Shallotte, NC 28470
Phone: 910-754-4515
Fax: 910-754-7997

Location Details

  • Practitioner spends 100% of time at this location.
  • Days that practitioner sees patients at this location:
    Mon,Wed


Additional Practice Address
Last Updated 9/29/2022
Robert M. Licata, M.D.
6200 Cottage Creek Rd
Southport, North Carolina 28461
Phone: 571-216-1272
Fax:

Location Details

  • Practitioner spends 5% of time at this location.
  • Days that practitioner sees patients at this location:
    Tue


Years in Active Clinical Practice
Last Updated 9/29/2022
Years in Active Clinical Practice Inside US/Canada: 48
Medicaid
Last Updated 9/29/2022
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Virginia Hospital Affiliations
Last Updated 9/29/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/29/2022