Robert Salvatore Dibacco in Lake Worth - Dermatology
Robert Salvatore Dibacco - NPI 1134103716
Robert Salvatore Dibacco is a Dermatology in Lake Worth, Florida. Robert Salvatore Dibacco practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Robert Salvatore Dibacco is 1134103716. The last update date is 2021-03-30.
Robert Salvatore Dibacco's current location address is 5053 S Congress Ave, Lake Worth, Florida. You can contact this provider via phone number 5619697300 and fax number 5619696922. The mailing address for Robert Salvatore Dibacco is 5053 S Congress Ave, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Salvatore Dibacco |
|---|---|
| Address | 5053 S Congress Ave, Lake Worth, Florida |
| Phone Number | 5619697300 |
| Fax Number | 5619696922 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134103716 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 5053 S Congress Ave |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334614706 |
| Phone Number | 5619697300 |
| Fax Number | 5619696922 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME0038989 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93992Y | FL | BCBS | |
| ME0038989 | FL | STATE LICENSE | |
| 70012428 | FL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert Salvatore Dibacco?
The Robert Salvatore Dibacco has been issued the NPI (National Provider Identifier) 1134103716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Robert Salvatore Dibacco's facilities are geographically located?
The facilities of Robert Salvatore Dibacco are physically situated at the following location: 5053 S Congress Ave, Lake Worth, FL, 334614706.
What is the Robert Salvatore Dibacco's area of specialization and corresponding taxonomy classification?
The Robert Salvatore Dibacco's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Robert Salvatore Dibacco receive its 1134103716 assignment from the Centers for Medicare & Medicaid Services?
The Robert Salvatore Dibacco was assigned its 1134103716 by the Centers for Medicare & Medicaid Services on 2005-12-06.
As of what date was the information regarding Robert Salvatore Dibacco, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Salvatore Dibacco, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-30.