MEDICARE: FUO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085R0001X	Radiation Oncology Physician
2	2088P0231X	Pediatric Urology Physician
3	208800000X	Urology Physician

General Provider Information

NPI Number	:	1083150114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUO LLC

Provider Business Mailing Address
First Line	:	802 11TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-7734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 3RD AVE W STE 210
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-8633
Country	:	US
Telephone Number	:	941-792-0340
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. G AUSTIN HILL
Credential	:	MD
Telephone Number	:	941-704-7391

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	01/12/2017

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Directions to “FUO LLC ” Practice Location

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