Provider Demographics
NPI:1275843914
Name:FURA, ABRAHAM JOSIAH (DO)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:JOSIAH
Last Name:FURA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 3RD AVE W
Mailing Address - Street 2:STE 110
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8641
Mailing Address - Country:US
Mailing Address - Phone:941-708-9555
Mailing Address - Fax:941-708-5200
Practice Address - Street 1:100 3RD AVE W STE 110
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8641
Practice Address - Country:US
Practice Address - Phone:941-708-9555
Practice Address - Fax:941-708-5200
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203028207L00000X
FLOS16143207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology