Individual
DOMINICK JEROME BURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 287-1746
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255044000
—
FL
Enumeration date
05/09/2006
Last updated
10/27/2008
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