MEDICARE: ABSOLUTE INTEGRATED MEDICINE, INC

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	208D00000X	General Practice Physician	OS7615	FL

General Provider Information

NPI Number	:	1194966275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE INTEGRATED MEDICINE, INC

Provider Business Mailing Address
First Line	:	333 17TH ST
Second Line	:	SUITE P
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5670
Country	:	US
Telephone Number	:	772-770-6184
Fax Number	:	772-770-6310

Provider Business Practice Location Address
First Line	:	333 17TH ST
Second Line	:	SUITE P
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5670
Country	:	US
Telephone Number	:	772-770-6184
Fax Number	:	772-770-6310

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. DOMINICK JEROME BURO
Credential	:	D.O.
Telephone Number	:	772-770-6184

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/18/2009

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