Organization
FUO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G AUSTIN HILL MD (CEO)
(941) 704-7391
Entity
Organization
Contact information
Practice address
200 3RD AVE W STE 210, BRADENTON, FL 34205-8633
(941) 792-0340
Mailing address
802 11TH ST W, BRADENTON, FL 34205-7734
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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