FORT MYERS DERMATOPATHOLOGY PA – NPI #1013973320
Dermatology

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.

Health Care Provider Taxonomy Code for Dermatology

FORT MYERS DERMATOPATHOLOGY PA is a dermatologist located in FORT MYERS, FL. NPPES has assigned the NPI number 1013973320 to FORT MYERS DERMATOPATHOLOGY PA on April 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT MYERS DERMATOPATHOLOGY PA below.

NPI Profile for
FORT MYERS DERMATOPATHOLOGY PA

NPI Number
1013973320
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT MYERS DERMATOPATHOLOGY PA
Primary location
8381 RIVERWALK PARK BLVD
SUITE 202
FORT MYERS, FL 33919
Phone: (239) 274-0005 Fax: (239) 274-8185
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MAZEN DAOUD
PRESIDENT
Phone: (239) 274-0005
Updated
Identifiers

Identifiers for FORT MYERS DERMATOPATHOLOGY PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAVMED284777
OTHERBCBSFL06492
OTHERWELLCAREFL202599
OTHERWELLCARE STAYWELL202599
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0900X
- Dermatology / Dermatopathology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.