| Casablanca Medical Llc | |
|
840 E 25th St Hialeah FL 33013-3402 | |
| (305) 783-7664 | |
| Not Available |
| Full Name | Casablanca Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 840 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Lusayma Sanchez (BILLING DIRECTOR) |
| Authorized Official Contact | 7864523109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casablanca Medical Llc 840 E 25th St Hialeah FL 33013-3402 Ph: () - | Casablanca Medical Llc 840 E 25th St Hialeah FL 33013-3402 Ph: (305) 783-7664 |
| NPI Number | 1114609419 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 7911346812 |
|---|---|
| Medicare Enrollment ID | O20240411001939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114609419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Faris Z Hawatmeh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639798184 PECOS PAC ID: 9830565167 Enrollment ID: I20221012000007 |
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