FORT MYERS DERMATOPATHOLOGY PA NPI 1013973320

NPI Information

  • NPI: 1013973320
  • Provider Name: FORT MYERS DERMATOPATHOLOGY PA
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 8381 RIVERWALK PARK BLVD
    SUITE 202
    FT MYERS, FL
    ZIP 33919
  • Phone: (239) 274-0005

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NPI Details

FORT MYERS DERMATOPATHOLOGY PA is a dermatopathology dermatology in Ft Myers, FL. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. FORT MYERS DERMATOPATHOLOGY PA NPI is 1013973320. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8381 RIVERWALK PARK BLVD
SUITE 202
FT MYERS, FL
ZIP 33919
Phone: (239) 274-0005
Fax: (239) 274-8185

The provider's authorized official is Mazen Daoud .
The authorized official title is President and has the following contact phone number (239) 274-0005.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202599OTHERWELLCARE STAYWELL
2202599OTHERFLORIDAWELLCARE
3284777OTHERAVMED
406492OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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