Individual
MRS. HOLLY CELLAMARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, RT (R)
Contact information
Practice address
745 MEADOWS RD STE 200, BOCA RATON, FL 33486-2324
(561) 955-6784
(833) 625-1611
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
FL
2471C3402X
Radiography Radiologic Technologist
548239
NY
363A00000X
Physician Assistant
023890
NY
363A00000X
Physician Assistant
Primary
PA9118161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760948780
—
NY
Enumeration date
02/14/2019
Last updated
03/05/2025
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