Organization Name: | ABSOLUTE INTEGRATED MEDICINE, INC |
NPI Number: | 1194966275 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOMINICK JEROME BURO (OWNER/DOCTOR) |
Mailing Address: | 333 17th St Suite P Vero Beach |
State: | FL US |
Postal Code: | 329605670 |
Phone Number: | 7727706184 |
Fax Number: | 7727706310 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS7615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |