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FORT MYERS DERMATOPATHOLOGY PA
NPI 1013973320
Dermatology - Dermatopathology in Ft Myers, FL

Active since April 25, 2006
8381 RIVERWALK PARK BLVD, SUITE 202, FT MYERS, FL 33919(239) 274-0005(239) 274-8185 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fort Myers Dermatopathology Pa NPPES

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

FORT MYERS DERMATOPATHOLOGY PA (NPI 1013973320) is a healthcare organization registered as a dermatopathology in Ft Myers, Florida and active in the NPI registry since April 2006. The organization lists Mazen Daoud, President, as its authorized official.

NPPES Registry Identity

NPI1013973320
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameFORT MYERS DERMATOPATHOLOGY PA
Location Address8381 RIVERWALK PARK BLVD, SUITE 202Ft Myers, FL 33919
Mailing Address8381 Riverwalk Park Blvd, Suite 202Ft Myers, FL 33919 · (239) 274-0005 · Fax (239) 274-8185
Phone(239) 274-0005
Fax(239) 274-8185
Organization SubpartNo
Authorized OfficialMazen DaoudPresident · (239) 274-0005
Enumeration DateApril 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013973320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
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.
8381 RIVERWALK PARK BLVD, Ft Myers, FL 33919
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Other Identifiers 4

Other202599Wellcare Staywell
Other202599FL · Wellcare
Other284777Avmed
Other06492FL · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Myers Dermatopathology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fort Myers Dermatopathology PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mazen Daoud, MD
Dermatology
NPI 1316903560
12580 UNIVERSITY DR SUITE 200
Fort Myers, FL 33907
(239) 274-0005
✔ PECOS✔ Accepts Medicare0.6 mi
Janet Cheng, M.D.
Dermatology
NPI 1275521478
326 DEL PRADO BLVD N SUITE 301
Cape Coral, FL 33909
(239) 458-1131
✔ PECOS✔ Accepts Medicare7.5 mi

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

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 Fort Myers Dermatopathology PA's NPI number?

The NPI number for Fort Myers Dermatopathology PA is 1013973320. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Fort Myers Dermatopathology PA located?

Fort Myers Dermatopathology PA is located at 8381 Riverwalk Park Blvd Suite 202, Ft Myers, FL 33919. The listed phone number is (239) 274-0005.

What is Fort Myers Dermatopathology PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Fort Myers Dermatopathology PA enrolled in Medicare?

Yes. Fort Myers Dermatopathology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Myers Dermatopathology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Fort Myers Dermatopathology PA. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Myers Dermatopathology PA was last updated on August 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.