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 1831304500

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

In the registry since
2007

Practice location Address checks out

9411 Fountain Medical Ct Ste 101
Bonita Springs, FL 34135
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 number1831304500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mazen Daoud — President · (239) 274-0005
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8381 Riverwalk Park Blvd, Suite 202, Fort Myers, FL 33919-8760

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