Camilla Gomes Xavier Holland

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118289 Issued in FL

Practice address

5507 S Congress Ave Ste 130
Atlantis, FL 33462-1139

Phone

(561) 227-7660

NPI assigned

Dec 18, 2023

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

Other names 1

• Camilla Gomes Xavier Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camilla.xavier.holland.1@18542.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • West Palm Beach, FL
  • NPI 1306329370
  Medicare reassignment
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  Medicare reassignment
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1922876085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20800",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 S CONGRESS AVE STE 130",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621139",
            "telephone_number": "561-227-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16215 S Jog Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334462387",
            "country_code": "US",
            "telephone_number": "561-303-0013",
            "fax_number": "567-499-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMES XAVIER HOLLAND",
        "first_name": "CAMILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLA",
            "last_name": "GOMES XAVIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yakov Ilich Gitin, MD
• Adam M Gittleman, MD
• Peter Gobar, MD
• James N Goldenberg, MD
• Mark Goldstein, MD
• Joel P Gordon, MD
• Dyann Joy Gormezano, M.D.
• Caryn Gotlib, LCSW
• Gary David Gottlieb, PA-C
• Marie Erline Gracius, RN

• Physician Assistant in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.