Fort Myers Dermatopathology PA
Dermatology, Dermatopathology in Ft Myers, FL. Organization (NPI-2).
NPI number1013973320
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1013973320
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Myers Dermatopathology PA
- Organization subpart
- No
- Enumeration date
- Apr 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | – | – | Yes |
Practice location
8381 Riverwalk Park BlvdSuite 202
Ft Myers, FL 33919
Phone 239-274-0005 · Fax 239-274-8185
Mailing address
8381 Riverwalk Park BlvdSuite 202
Ft Myers, FL 33919
Phone 239-274-0005 · Fax 239-274-8185
Authorized official
Mazen Daoud
President
2392740005
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.