DR. MAZEN DAOUD (NPI# 1316903560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316903560 |
| Entity Type | Individual |
| Full Name | DR. MAZEN DAOUD |
| Credential | MD |
| Practice Address |
12580 University Dr Suite 200 Fort Myers FL 33907-5686 |
| Practice Telephone | 2392740005 |
| Practice Fax Number | 2392748185 |
| Mailing Telephone | 2392740005 |
| Mailing Fax Number | 2392748185 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2009-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME81133 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE PROVIDER # | 202599 | 01 |
| FL | BCBS PROVIDER # | 06492 | 01 |
| FL | AETNA PROVIDER # | 2821758 | 01 |
| FL | UNITED HEALTHCARE PROVIDE | 03-00804 | 01 |
| FL | RR MEDICARE PROVIDER # | 70017117 | 01 |
| FL | AVMED PROVIDER # | 2821758 | 01 |
| Street Address |
12580 UNIVERSITY DR SUITE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-5686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316249444 | Christal L Dimarco | Physician Assistant | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2010-11-22 |
| 1992007280 | Enid B Martinez | Physician Assistant | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2010-11-19 |
| 1174763353 | Steven C Bernstein | Dermatology | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2009-02-27 |
| 1104081967 | Kristin Schmidt | Physician Assistant | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2008-07-22 |
| 1801007265 | John Snow | Dermatology | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922248715 | Cutis Diagnostics Inc. | Dermatology | 13691 Metropolis Avenue, Fort Myers, FL 33912 | 2009-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646930 | Neil Sandhu Pa | Dermatology | 1431 Orange Camp Rd Ste 115, Deland, FL 32724-7770 | 2020-07-08 |
| 1801369020 | Venice Dermatology Clinic Pa | Dermatology | 3171 Bobcat Village Center Rd, North Port, FL 34288-8974 | 2019-01-10 |
| 1548739246 | Associates & Affiliates In Dermatology LLC | Dermatology | 5210 Webb Rd Ste B, Tampa, FL 33615-4518 | 2018-11-26 |
| 1558836445 | Docta LLC | Dermatology | 5200 S University Dr Ste 102a, Davie, FL 33328-5316 | 2018-10-08 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| 1487098059 | Jason R Rosen | Dermatology | 4675 Linton Blvd Ste 203b, Delray Beach, FL 33445-6615 | 2013-04-25 |
| 1881964864 | Harold Edward Garber | Dermatology | 605 San Marco Dr, Fort Lauderdale, FL 33301-2547 | 2012-01-06 |
| 1245523414 | Sanchez Dermatology Services | Dermatology | 420 N Plant Ave, Plant City, FL 33563-7248 | 2011-05-22 |
| 1316244379 | Teresa C Rey | Dermatology | 3760 Sw 139th Pl, Miami, FL 33175-6749 | 2011-02-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.