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FORT MYERS DERMATOPATHOLOGY
NPI 1831304500
Dermatology - Procedural Dermatology in Bonita Springs, FL

Active since May 14, 2007
9411 FOUNTAIN MEDICAL COURT, SUITE 101, BONITA SPRINGS, FL 34135(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: July 26, 2026.

About Fort Myers Dermatopathology NPPES

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

FORT MYERS DERMATOPATHOLOGY (NPI 1831304500) is a healthcare organization registered as a procedural dermatology in Bonita Springs, Florida and active in the NPI registry since May 2007. The organization lists Mazen Daoud, President, as its authorized official.

NPPES Registry Identity

NPI1831304500
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameFORT MYERS DERMATOPATHOLOGY
Location Address9411 FOUNTAIN MEDICAL COURT, SUITE 101Bonita Springs, FL 34135
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 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1831304500 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).

9411 FOUNTAIN MEDICAL COURT, Bonita Springs, FL 34135
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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 1831304500. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Fort Myers Dermatopathology located?

Fort Myers Dermatopathology is located at 9411 Fountain Medical Court Suite 101, Bonita Springs, FL 34135. 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 with the weekly NPPES data releases published by CMS.