Daoud, Mazen
Daoud, Mazen is an sole proprietor health care provider with primary practice located at 12580 University Dr Suite 200, Fort Myers FL 33907-5686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Daoud, Mazen can be contacted via phone (239) 274-0005.Contact Information
Primary practice address
12580 University Dr Suite 200
Fort Myers FL 33907-5686
Phone: (239) 274-0005
Fax: (239) 274-8185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME81133 | Florida |
Profile Details
| NPI number | 1316903560 |
|---|---|
| LBN Legal business name | Daoud, Mazen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Feb 27th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316903560 | NPPES |
| Florida | Other | 70017117 | RR MEDICARE PROVIDER # |
| Florida | Other | 03-00804 | RR MEDICARE PROVIDER # |
| Florida | Other | 06492 | RR MEDICARE PROVIDER # |
| Florida | Other | 2821758 | RR MEDICARE PROVIDER # |
| Florida | Other | 202599 | RR MEDICARE PROVIDER # |
| Florida | Other | 2821758 | RR MEDICARE PROVIDER # |
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