NPI Code Details Logo

NPI 1144827577

NPI 1144827577 : ONSPOT-FL : FORT MYERS, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144827577
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ONSPOT-FL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/08/2020
-----------------------------------------------------
    Last Update Date     |    09/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13770 PLANTATION RD # 103 
-----------------------------------------------------
    City                 |    FORT MYERS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33912-4460
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    941-444-0011
-----------------------------------------------------
    Fax                  |    603-242-1653
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 23168 
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10087-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    941-444-0011
-----------------------------------------------------
    Fax                  |    603-952-3900
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     DON  HUNT 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    857-445-1675
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207ND0900X
-----------------------------------------------------
    Taxonomy Name        |    Dermatopathology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207NS0135X
-----------------------------------------------------
    Taxonomy Name        |    Procedural Dermatology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207NI0002X
-----------------------------------------------------
    Taxonomy Name        |    Clinical & Laboratory Dermatological Immunology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207ND0101X
-----------------------------------------------------
    Taxonomy Name        |    MOHS-Micrographic Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207N00000X
-----------------------------------------------------
    Taxonomy Name        |    Dermatology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.