FORT MYERS DERMATOPATHOLOGY (NPI# 1366657629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366657629 |
| Entity Type | Organization |
| Organization Name | FORT MYERS DERMATOPATHOLOGY |
| Practice Address |
9250 Corkscrew Rd Suite 5 Estero FL 33928-3208 |
| Mailing Address |
8381 Riverwalk Park Blvd Suite 202 Fort Myers FL 33919-8760 |
| Practice Telephone | 2392740005 |
| Practice Fax Number | 2392784718 |
| Mailing Telephone | 2392740005 |
| Mailing Fax Number | 2392784718 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MAZEN DAOUD (PRESIDENT) |
| Authorized Official Telephone | 2392740005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831304500 | Fort Myers Dermatopathology | Dermatology | 9411 Fountain Medical Court, Suite 101, Bonita Springs, FL 34135 | 2007-05-14 |
| 1083829337 | Fort Myers Dermatopathology | Dermatology | 4901 Palm Beach Blvd, Suite 12, Fort Myers, FL 33905-3252 | 2007-05-11 |
| 1215142567 | Fort Myers Dermatopathology | Dermatology | 643 Cape Coral Pkwy E, Suite E, Cape Coral, FL 33904-8549 | 2007-05-11 |
| Street Address |
9250 CORKSCREW RD SUITE 5 |
| City | ESTERO |
| State | FL |
| Zip Code | 33928-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554590 | Ricardo Bendeck | Family Medicine | 9250 Corkscrew Rd, Estero, FL 33928-3208 | 2005-08-10 |
| 1275993651 | Associates In Medicine & Surgery LLC | Podiatrist | 9250 Corkscrew Rd, Suite 7, Estero, FL 33928-3208 | 2016-02-29 |
| 1124424098 | Coastal Physician Care LLC | Family Medicine | 9250 Corkscrew Rd, Suite 3, Estero, FL 33928-3208 | 2014-11-05 |
| 1588977235 | Joan Gargiula Richards | Occupational Therapist | 9250 Corkscrew Rd, Unit 10, Estero, FL 33928-3208 | 2010-07-23 |
| 1265621726 | Daryoush Zafar Dpm Pa | Podiatrist | 9250 Corkscrew Rd, Suite 7, Estero, FL 33928-3208 | 2007-10-22 |
| 1407863897 | Diane Elizabeth Carroll | Physical Therapist | 9250 Corkscrew Rd, Suite 10, Estero, FL 33928-3208 | 2006-08-01 |
| 1932139805 | Christopher Michael Green | Chiropractor | 9250 Corkscrew Rd, Ste 4, Estero, FL 33928-3208 | 2006-07-04 |
| 1740219849 | Chiropractic Care and Rehab Center | Chiropractor | 9250 Corkscrew Rd, Ste 4, Estero, FL 33928-3208 | 2006-07-01 |
| 1154364057 | Patricia Anne Curr | Physical Therapist | 9250 Corkscrew Rd, Ste 15, Estero, FL 33928-3217 | 2006-06-14 |
| 1720039902 | Physiotherapy Associates Inc | Clinic/Center | 9250 Corkscrew Rd, Suite 10, Estero, FL 33928-3216 | 2006-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055588 | Jeremiah S Mossman | Nurse Anesthetist, Certified Registered | 21586 Belvedere Ln, Estero, FL 33928 | 2018-06-05 |
| 1376030361 | Trish Daino Lisw LLC | Social Worker | 9180 Estero Park Commons, Ste 2, Suite 2, Estero, FL 33928 | 2018-04-16 |
| 1861994204 | Kin Med, Pa | General Practice | 19910 S Tamiami Trail Ste C, Estero, FL 33928 | 2018-03-01 |
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1295284008 | National Vision, Inc. | Technician/Technologist | 22907 Lyden Dr, Estero, FL 33928 | 2016-09-22 |
| 1275982654 | Eileen Cherbini | Counselor | 13616 Canola Ct, Estero, FL 33928 | 2016-06-07 |
| 1952759342 | Alexander Conrad | Counselor | 8010 Sardinia Way Unit #221, Estero, FL 33928 | 2016-05-26 |
| 1154700466 | Estero Eyecare | Clinic/Center | 21753 Brixham Run Loop, Estero, FL 33928 | 2015-05-20 |
| 1982082335 | Gulfshore Pediatric Dentistry, P.a. | Dentist | 9921 Corkscrew Rd, Estero, FL 33928 | 2015-05-18 |
| 1942697149 | Conor William Byrt | Emergency Medicine | 21731 Sound Way, 102, Estero, FL 33928 | 2015-04-25 |
| Find all providers in zip 33928 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579002 | Alicia Nunez | Dermatology | 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 | 2019-07-01 |
| 1477114197 | Leslie Z Rohaidy | Dermatology | 55 Se 6th St Apt 3101, Miami, FL 33131-2570 | 2019-06-24 |
| 1376029579 | Gulfshore Dermatology At Coralwood, Pa | Dermatology | 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 | 2018-07-11 |
| 1033639786 | Beautysmart Dermatology Clinic and Medical Spa LLC | Dermatology | 94 S Federal Hwy, Boca Raton, FL 33432-4825 | 2017-06-23 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1336584960 | Devorah R Shagalov | Dermatology | 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 | 2013-05-09 |
| 1871834606 | Geoffrey Michael Siegel | Dermatology | 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 | 2013-03-04 |
| 1174852560 | Nautilus Health Care Group, LLC | Dermatology | 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 | 2009-12-14 |
| 1447494885 | Matteo Taerri | Dermatology | 510 Howard Ct, Sarasota, FL 34236-5050 | 2009-04-29 |
| 1336319045 | Miloslava Mician Md Pa | Dermatology | 3619 W Waters Ave, Tampa, FL 33614-2783 | 2008-03-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.