Organization
ONSPOT-FL
Active
Organization
ONSPOT-FL
Active
Other names
OnSpot Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DARYN MULLHOLAND MBA (OSD CREDENTIALING)
(727) 647-1188
Entity
Organization
Contact information
Practice address
13770 PLANTATION RD # 103, FORT MYERS, FL 33912-4460
(941) 444-0011
(603) 242-1653
Mailing address
PO BOX 23168, NEW YORK, NY 10087-0001
(941) 444-0011
(603) 952-3900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/08/2020
Last updated
08/15/2026
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