MEDICARE: MR. ANTHONY JOHN FUS JR. PT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	22835	FL

General Provider Information

NPI Number	:	1154484830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY JOHN FUS JR. PT

Provider Business Mailing Address
First Line	:	7125 FRUITVILLE RD
Second Line	:	#434
City	:	SARASOTA
State	:	FL
Zip	:	34240-8957
Country	:	US
Telephone Number	:	941-377-5035
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 SUNSET LAKE BLVD
Second Line	:	SUITE 201
City	:	VENICE
State	:	FL
Zip	:	34292-7554
Country	:	US
Telephone Number	:	941-497-1737
Fax Number	:	941-497-7889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. ANTHONY JOHN FUS JR. PT” Practice Location

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