Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Myers Dermatopathology

Organization Procedural Dermatology Physician · NPI 1083829337

Fort Myers Dermatopathology is a Procedural Dermatology Physician in Fort Myers, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4901 Palm Beach Blvd Ste 12
Fort Myers, FL 33905-3252
Phone: (239) 274-0005
Fax: (239) 278-4718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X

Record details

NPI number1083829337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mazen Daoud — President · (239) 274-0005
NPI enumeratedMay 11, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8381 Riverwalk Park Blvd, Suite 202, Fort Myers, FL 33919-8760

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