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NPI 1144827577ActiveOrganization· Dermatology· Fort Myers, FL

Dermatology in Fort Myers, Florida, registered in NPPES in October 2020. The authorized official on file is Daryn Mullholand, MBA, Osd Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1144827577
StatusActive
Entity typeOrganization
NPI issuedOct 8, 2020
Last updated in NPPESAug 15, 2026
Certified by providerAug 15, 2026

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

Other Dermatology providers in Fort Myers

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