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CASABLANCA DERMATOLOGY LLC
NPI 1710717335
Dermatology - MOHS-Micrographic Surgery in Doral, FL

Active since August 07, 2024
8726 NW 26TH ST, DORAL, FL 33172(786) 807-7881 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Casablanca Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASABLANCA DERMATOLOGY LLC (NPI 1710717335) is a healthcare organization registered as a mohs-micrographic surgery in Doral, Florida and active in the NPI registry since August 2024. The organization maintains a secondary practice location in Hialeah and lists Lusayma Sanchez, Manager, as its authorized official.

NPPES Registry Identity

NPI1710717335
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCASABLANCA DERMATOLOGY LLC
Location Address8726 NW 26TH STDoral, FL 33172-1627
Mailing Address840 E 25th StHialeah, FL 33013-3402
Phone(786) 807-7881
Organization SubpartNo
Authorized OfficialLusayma SanchezManager · (786) 452-3109
Enumeration DateAugust 7, 2024
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1710717335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
8726 NW 26TH ST, Doral, FL 33172
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Secondary Practice Location 1

Location 1840 E 25th StHialeah, FL 33013-3402 · Phone (786) 452-3109

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casablanca Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Casablanca Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Faris Hawatmeh, DO
Dermatology
NPI 1639798184
840 E 25TH ST
Hialeah, FL 33013
(786) 882-5482
✔ PECOS✔ Accepts Medicare5.6 mi
Joscelyne Lastra, APRN
Nurse Practitioner
NPI 1235909664
3506 E 23RD ST
Alva, FL 33920
(305) 216-3228
✔ PECOS98 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casablanca Dermatology LLC's NPI number?

The NPI number for Casablanca Dermatology LLC is 1710717335. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Casablanca Dermatology LLC located?

Casablanca Dermatology LLC is located at 8726 NW 26th St, Doral, FL 33172. The listed phone number is (786) 807-7881.

What is Casablanca Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Casablanca Dermatology LLC enrolled in Medicare?

Yes. Casablanca Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Casablanca Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Casablanca Dermatology LLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Casablanca Dermatology LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.