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SKIN CANCER TREATMENT CENTER
NPI 1861509234
Specialist in Pembroke Pines, FL

Active since August 23, 2006CLIA 10D0927895 · Certificate of Compliance
10001 PINES BLVD, PEMBROKE PINES, FL 33024(954) 436-5625(954) 678-3989 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 22, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Skin Cancer Treatment Center NPPES

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

SKIN CANCER TREATMENT CENTER (NPI 1861509234) is a healthcare organization registered as a specialist in Pembroke Pines, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 2, 2027 and lists Kathryn Zeoli, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1861509234
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSKIN CANCER TREATMENT CENTER
Location Address10001 PINES BLVDPembroke Pines, FL 33024-6136
Mailing Address10001 Pines BlvdPembroke Pines, FL 33024-6136 · (954) 436-5625 · Fax (954) 678-3989
Phone(954) 436-5625
Fax(954) 678-3989
Organization SubpartNo
Authorized OfficialKathryn ZeoliDermatologist · (954) 436-5625
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1861509234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0036826
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10001 PINES BLVD, Pembroke Pines, FL 33024
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin Cancer Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Skin Cancer Treatment Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Brian Bucalo, M.D
Dermatology
NPI 1477646172
10067 PINES BLVD. SUITE A
Pembroke Pines, FL 33024
(954) 436-5625
✔ PECOS✔ Accepts MedicareSame address
Ron Ramirez, M.D.
Dermatology
NPI 1265810774
10001 PINES BLVD
Pembroke Pines, FL 33024
(954) 436-5625
✔ PECOS✔ Accepts MedicareSame address
Kathryn Zeoli, M.D.
Dermatology
NPI 1588674253
10001 PINES BLVD
Pembroke Pines, FL 33024
(954) 436-5625
✔ PECOS✔ Accepts MedicareSame address
Patrick Zito, D.O., PHARM.D.
Dermatology
NPI 1689052748
8700 W FLAGLER ST STE 105
Miami, FL 33174
(305) 380-9916
✔ PECOS✔ Accepts Medicare17 mi
Omar Rashid, MD, JD
Surgical Oncology
NPI 1700095734
6333 N FEDERAL HWY STE 110
Fort Lauderdale, FL 33308
(954) 543-7373
✔ PECOS✔ Accepts Medicare17 mi
Mae Gutierrez-Cuenca, M.D.
Family Practice
NPI 1053445155
580 CRANDON BLVD STE 101
Key Biscayne, FL 33149
(305) 361-8200
✔ PECOS✔ Accepts Medicare23 mi
Susana Leal Khouri, MD
Dermatology
NPI 1871589168
580 CRANDON BLVD # 101
Key Biscayne, FL 33149
(305) 361-8200
✔ PECOS✔ Accepts Medicare23 mi
Vincent Falanga, M.D.
Dermatology
NPI 1376501825
1 CITY HALL PLZ
Melrose, MA 02176
(781) 662-8881
✔ PECOS✔ Accepts Medicare1,249 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0927895

Skin Cancer Treatment Center · Pembroke Pines, FL
Active · expires Jun 2, 2027
CLIA Number10D0927895
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorKathryn C. Zeoli
Laboratory Phone(954) 436-5625
Laboratory LocationSkin Cancer Treatment Center10001 Pines Blvd, Pembroke Pines, FL 33024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Skin Cancer Treatment Center's NPI number?

The NPI number for Skin Cancer Treatment Center is 1861509234. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Skin Cancer Treatment Center located?

Skin Cancer Treatment Center is located at 10001 Pines Blvd, Pembroke Pines, FL 33024. The listed phone number is (954) 436-5625.

What is Skin Cancer Treatment Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Skin Cancer Treatment Center enrolled in Medicare?

Yes. Skin Cancer Treatment Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Cancer Treatment Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Skin Cancer Treatment Center. 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. The largest specialties are Dermatology (6), Family Practice (1) and Surgical Oncology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin Cancer Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0927895) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Cancer Treatment Center accept?

Health plans from AvMed and Florida Blue (BlueCross BlueShield FL) list Skin Cancer Treatment Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skin Cancer Treatment Center was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.