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 provides Procedural Dermatology Physician services 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