Healthcare Provider Details

I. General information

NPI: 1992708127
Provider Name (Legal Business Name): PAUL D FUCHS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 HOPE CENTER LOOP
FORT MYERS FL
33912-4707
US

IV. Provider business mailing address

14601 HOPE CENTER LOOP
FORT MYERS FL
33912-4707
US

V. Phone/Fax

Practice location:
  • Phone: 239-334-7000
  • Fax: 239-344-7070
Mailing address:
  • Phone: 239-334-7000
  • Fax: 239-344-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberOS8551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: