FORT MYERS DERMATOPATHOLOGY – NPI #1831304500
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

FORT MYERS DERMATOPATHOLOGY is a dermatologist located in BONITA SPRINGS, FL. NPPES has assigned the NPI number 1831304500 to FORT MYERS DERMATOPATHOLOGY on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

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 below.

NPI Profile for
FORT MYERS DERMATOPATHOLOGY

NPI Number
1831304500
Enumeration Date

(more than 19 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
Primary location
9411 FOUNTAIN MEDICAL COURT
SUITE 101
BONITA SPRINGS, FL 34135
Phone: (239) 274-0005 Fax: (239) 278-4718
Mailing address
8381 RIVERWALK PARK BLVD
SUITE 202
FORT MYERS, FL 33919-8760
Phone: (239) 274-0005 Fax: (239) 278-4718
Organization Subpart
No
Authorized Official
MAZEN DAOUD
PRESIDENT
Phone: (239) 274-0005
Updated
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
207NS0135X
- Dermatology / Procedural Dermatology (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.