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

Active since April 25, 2006CLIA 10D1012626 · Certificate of Compliance
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: August 02, 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 holds a CLIA Certificate of Compliance certificate valid through June 24, 2027 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1012626

Fort Myers Dermatopathology PA · Fort Myers, FL
Active · expires Jun 24, 2027
CLIA Number10D1012626
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorDr. Mazen S. Daoud
Laboratory Phone(239) 274-0005
Laboratory LocationFort Myers Dermatopathology PA12580 University Dr Ste 200, Fort Myers, FL 33907
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARI L SKINNER M.D.
Dermatology (Procedural Dermatology)
8381 RIVERWALK PARK BLVD, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 936-5425
JULISSA GONZALEZ ARNP
Nurse Practitioner (Pediatrics)
8381 RIVERWALK PARK BLVD, SUITE 202
FORT MYERS, FL 33919
Lee County (239) 689-5561
LAERTES A MANUELIDIS M.D.
Dermatology (Procedural Dermatology)
8381 RIVERWALK PARK BLVD, SUITE 1
FORT MYERS, FL 33919
Lee County (239) 936-5425
KEITH M BENBENISTY M.D.
Dermatology (Procedural Dermatology)
8381 RIVERWALK PARK BLVD, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 936-5425
MARVIN S PORTER M.D.
Dermatology (Procedural Dermatology)
8381 RIVERWALK PARK BLVD, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 936-5425
VISION HEALTH CARE GROUP INC
Internal Medicine (Sleep Medicine)
8381 RIVERWALK PARK BLVD, SUITE 201
FORT MYERS, FL 33919
Lee County (239) 466-2030
ANNA J. MCCAUGHNA N.P.
Nurse Practitioner (Family)
8381 RIVERWALK PARK BLVD
FT MYERS, FL 33919
Lee County (239) 274-0005
ANTHONY F FRANSWAY M.D.
Dermatology (Procedural Dermatology)
8381 RIVERWALK PARK BLVD, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 936-5425

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.

Does Fort Myers Dermatopathology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1012626) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 5 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.