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 1366657629

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

In the registry since
2007

Practice location Address checks out

9250 Corkscrew Rd Ste 5
Estero, FL 33928-3208
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 number1366657629
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

Other providers in Estero