Fort Myers Dermatopathology PA

NPI #1013973320 in Ft Myers, Florida

Provider Information

NPI Number
1013973320
Entity Type
Organization
Organization Name
Fort Myers Dermatopathology PA
Primary Specialty
Dermatology - Dermatopathology
Enumeration Date
Apr 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
8381 RIVERWALK PARK BLVD
Address 2
SUITE 202
State
Florida
ZIP Code
33919
Phone
(239) 274-0005

Authorized Official

Name
MR. MAZEN DAOUD, MD
Title
PRESIDENT
Phone
(239) 274-0005

Specialties & Taxonomy Codes

Specialty
Dermatology - DermatopathologyDermatopathology

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