Healthcare Provider Details
I. General information
NPI: 1144827577
Provider Name (Legal Business Name): ONSPOT-FL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2020
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13770 PLANTATION RD # 103
FORT MYERS FL
33912-4460
US
IV. Provider business mailing address
PO BOX 23168
NEW YORK NY
10087-0001
US
V. Phone/Fax
- Phone: 941-444-0011
- Fax: 603-242-1653
- Phone: 941-444-0011
- Fax: 603-952-3900
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ND0900X |
| Taxonomy | Dermatopathology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207NS0135X |
| Taxonomy | Procedural Dermatology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207NI0002X |
| Taxonomy | Clinical & Laboratory Dermatological Immunology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ND0101X |
| Taxonomy | MOHS-Micrographic Surgery Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DON
HUNT
Title or Position: CEO
Credential:
Phone: 857-445-1675