Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fort Myers Dermatopathology

Organization Procedural Dermatology Physician · NPI 1215142567

Fort Myers Dermatopathology provides Procedural Dermatology Physician services in Cape Coral, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

643 Cape Coral Pkwy E Ste E
Cape Coral, FL 33904-8549
Phone: (239) 549-0837
Fax: (239) 549-8766
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 number1215142567
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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