FORT MYERS DERMATOPATHOLOGY is a procedural dermatology dermatology in Bonita Springs, 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 1831304500. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9411 FOUNTAIN MEDICAL COURT
SUITE 101
BONITA SPRINGS, FL
ZIP 34135
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 CLIA number assigned to this NPI record is 10D2221760 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.