Tatiana Cecilia Cellini, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116963 Issued in FL

Practice address

2320 NE 62ND St
Fort Lauderdale, FL 33308-2208

Phone

(954) 500-3376

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1427685007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MERIDIAN AVE APT 422",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391543",
            "telephone_number": "954-548-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NE 62ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082208",
            "telephone_number": "954-500-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Lenox Ave # 201202",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331393387",
            "country_code": "US",
            "telephone_number": "786-502-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELLINI",
        "first_name": "TATIANA",
        "middle_name": "CECILIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Carmen Cebuc, LMFT
• Cecelia Cooper P.a.
• Cecilia Salazar, DMD, PA
• Grace Celis
• Felice Ellen Cellini, P.A.-C
• Rachel Cemelus, APRN
• James A Cennamo, DO
• Denise Alexandra Centeno
• Center for Advanced Pediatric Speech Therapy, Inc.
• Center for Advanced Wound Care LLC

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.