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Travis James Fusselman, PA-C
Surgical Physician Assistant in Fort Myers, Florida
NPI 1689993958

Travis James Fusselman is a Surgical Physician Assistant based in Fort Myers, FL and is specialized in Surgical. Travis James Fusselman practices in Fort Myers, FL and has the professional credentials of PA-C. The NPI Number for Travis James Fusselman is 1689993958 and holds a License No. PA9105463 (Florida).

The current practice location address for Travis James Fusselman is 2776 Cleveland Ave, Fort Myers, FL and can be reached out via phone at 239-343-2606 and via fax at 239-343-3695.

Location: 2776 Cleveland Ave, Fort Myers, FL, 33902-2147
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Provider Profile Details
NPI Number
1689993958
Provider Name
Travis James Fusselman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2776 Cleveland Ave, Fort Myers, FL, 33902-2147
Phone Number
239-343-2606
Fax Number
239-343-3695
Provider Enumeration Date
05/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00924560 01 FL RAILROAD MEDICARE
P931492 01 FL OPTIMUM
9368561 01 FL AETNA
002247200 05 FL
P984378 01 FL FREEDOM HEALTH
institution
Provider Business Practice Location Address Details
Address
2776 Cleveland Ave
City
State
Zip
33901-5864
Phone Number
239-343-2606
Fax Number
239-343-3695
person
Provider Business Mailing Address Details
Address
2776 Cleveland Ave
City
State
Zip
33901-5864
Phone Number
239-343-2606
Fax Number
239-343-3695
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105463 (Florida)
Definition
Definition to come...
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