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:
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Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
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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