OrganizationActive
Fort Myers Dermatopathology
NPI 1366657629 · Procedural Dermatology Physician · Estero, FL
Provider details
- NPI number
- 1366657629
- 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
Practice location
9250 Corkscrew Rd
Suite 5
Estero, FL 33928-3208
Phone: (239) 274-0005
Fax: (239) 278-4718
Approximate (ZIP-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.