Fort Myers Dermatopathology
NPI #1215142567 in Cape Coral, Florida
Provider Information
- NPI Number
- 1215142567
- Entity Type
- Organization
- Organization Name
- Fort Myers Dermatopathology
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- May 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 643 CAPE CORAL PKWY E
- Address 2
- SUITE E
- City
- Cape Coral
- State
- Florida
- ZIP Code
- 33904-8549
- Phone
- (239) 549-0837
Authorized Official
- Name
- MAZEN DAOUD, MD
- Title
- PRESIDENT
- Phone
- (239) 274-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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