Individual
DR. TRAVIS FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1673 MASON AVE STE 305, DAYTONA BEACH, FL 32117-5516
(386) 274-7118
(386) 274-6173
Mailing address
1673 MASON AVE STE 305, DAYTONA BEACH, FL 32117-5516
(386) 274-7118
(386) 274-6173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
103166
GA
2085R0202X
Diagnostic Radiology Physician
D87278
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME144216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106572400
—
FL
01
—
41ZCT
BCBS
FL
01
—
MU993
MEDICARE PTAN OHRI
FL
01
—
PS842
MEDICARE PTAN OHMG
FL
Enumeration date
06/24/2014
Last updated
09/03/2025
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