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FORT MYERS DERMATOPATHOLOGY NPI 1083829337


NPI Information

NPI: 1083829337
Provider Name: FORT MYERS DERMATOPATHOLOGY
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
4901 PALM BEACH BLVD
SUITE 12
FORT MYERS, FL
ZIP 33905
Phone: (239) 274-0005
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FORT MYERS DERMATOPATHOLOGY is a procedural dermatology dermatology in Fort Myers, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). FORT MYERS DERMATOPATHOLOGY NPI is 1083829337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4901 PALM BEACH BLVD
SUITE 12
FORT MYERS, FL
ZIP 33905-252
Phone: (239) 274-0005
Fax: (239) 278-4718

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 5/11/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyYes

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: 11/14/2023

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