National Provider Identifier Database

FORT MYERS DERMATOPATHOLOGY PA
Dermatopathology

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.


Contact Information

FORT MYERS DERMATOPATHOLOGY PA
8381 RIVERWALK PARK BLVD
SUITE 202
FORT MYERS, FL33919
Phone: 239-274-0005
Fax: 239-274-8185
Website:
Specialty Taxonomy Code
* Dermatopathology 207ND0900X

* Indicates primary specialty

NPI Profile & details for FORT MYERS DERMATOPATHOLOGY PA

NPI Number 1013973320
Legal business name
LBN
FORT MYERS DERMATOPATHOLOGY PA
Authorized official MAZEN DAOUD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 284777 AVMED
  • Other: 202599 WELLCARE STAYWELL
  • FL Other: 06492 BCBS
  • FL Other: 202599 WELLCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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