OrganizationActive
Fort Myers Dermatopathology
NPI 1215142567 · Procedural Dermatology Physician · Cape Coral, FL
Provider details
- NPI number
- 1215142567
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mazen Daoud, President(239) 274-0005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
643 Cape Coral Pkwy E
Suite E
Cape Coral, FL 33904-8549
Phone: (239) 549-0837
Fax: (239) 549-8766
Street-level locationGet directions
Mailing address
8381 Riverwalk Park Blvd
Fort Myers, FL 33919-8760
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.