Individual provider · Type 1 NPI

Laertes A. Manuelidis, MD

Procedural Dermatology Physician · Fort Myers, FL

NPI number 1245220698 Active

Practice location

8381 Riverwalk Park Blvd, Suite 1
Fort Myers, FL 33919-8760

Fax (239) 936-5176

Specialties and licenses

Taxonomy	Code	License
Dermatopathology (Pathology) Physician	207ZD0900X	ME87314 (FL)
Procedural Dermatology Physician Primary	207NS0135X	ME87314 (FL)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1245220698

Laertes A. Manuelidis, MD's National Provider Identifier is 1245220698, issued on Oct 26, 2005. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 13, 2026.