FORT MYERS DERMATOPATHOLOGY
NPI 1083829337
Dermatology - Procedural Dermatology in Fort Myers, FL

Q: What is Fort Myers Dermatopathology's NPI number?

The NPI number for Fort Myers Dermatopathology is 1083829337. It was assigned to this organization in the NPPES registry on May 11, 2007.

Q: What is Fort Myers Dermatopathology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since May 11, 2007

4901 PALM BEACH BLVD, SUITE 12, FORT MYERS, FL 33905(239) 274-0005(239) 278-4718 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fort Myers Dermatopathology NPPES

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

FORT MYERS DERMATOPATHOLOGY (NPI 1083829337) is a healthcare organization registered as a procedural dermatology in Fort Myers, Florida and active in the NPI registry since May 2007. The organization lists Mazen Daoud, President, as its authorized official.

NPPES Registry Identity

NPI1083829337

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameFORT MYERS DERMATOPATHOLOGY

Location Address4901 PALM BEACH BLVD, SUITE 12Fort Myers, FL 33905-3252

Mailing Address8381 Riverwalk Park Blvd, Suite 202Fort Myers, FL 33919-8760 · (239) 274-0005 · Fax (239) 278-4718

Phone(239) 274-0005

Fax(239) 278-4718

Organization SubpartNo

Authorized OfficialMazen DaoudPresident · (239) 274-0005

Enumeration DateMay 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1083829337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

Definition

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).

4901 PALM BEACH BLVD, Fort Myers, FL 33905

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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's NPI number?

The NPI number for Fort Myers Dermatopathology is 1083829337. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Fort Myers Dermatopathology located?

Fort Myers Dermatopathology is located at 4901 Palm Beach Blvd Suite 12, Fort Myers, FL 33905. The listed phone number is (239) 274-0005.

What is Fort Myers Dermatopathology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Fort Myers Dermatopathology 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.