Travis M Sloan, D.O.
Individual provider Active NPI Pediatrics Physician · Patrick Afb, FL
NPI 1902193261 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1902193261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 02004153A (IN)
- Practice address
- 1381 S Patrick Dr
Patrick Afb, FL 32925-3606 - Phone
- (321) 494-8261
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181121002881 | NV | Order and Referring Only - Pediatric Medicine |
8123372513 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004153A | IN | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02004153A | IN | Yes |
Addresses
Primary practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone (321) 494-8241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300070724 | Other | TRICARE |
Other providers in Patrick Afb, FL
- Craig H Rice
- Karla J Rombaldi Smith
- Sharon Samayoa
- Leonard Wesley Schubring
- Ananda Selvaraj
- William Alexander Steele
- Richard Warren Sumrall
- Nicole E Tafuri
- Zanett M Thomas
- Adeline Thompson
All providers in Patrick Afb, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.