Active NPI 1134103716 Individual Practitioner Male Practitioner

Dr. Robert Salvatore Dibacco , MD

Dermatology • Atlantis, FL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Dibacco, MD is a registered healthcare professional specializing in Dermatology in Atlantis, FL. Practice services are available at 5053 S CONGRESS AVE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5053 S Congress Ave
Ste 204

Atlantis, FL 334614706

Telephone 5619697300

Fax 5619696922

Associated Practice Facility / Clinic

🏢 Palm Springs Internal Medicine Facility NPI 1851475016

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Atlantis, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Atlantis, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	208	51	$15.00	$6.45
99213 Established patient office or other outpatient visit, typically 15 minutes	139	127	$101.00	$91.07
17000 Destruction of skin growth	89	83	$100.00	$44.72
17110 Destruction of up to 14 skin growths	65	62	$151.00	$107.42
11102 Tangential biopsy of single skin lesion	61	59	$136.00	$79.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$147.00	$128.33
11103 Biopsy of related skin growth, each additional growth	27	17	$73.00	$49.69
17004 Destruction of precancer skin growth, 15 or more growths	18	15	$245.00	$166.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,278	189	$15.00	$6.66
99213 Established patient office or other outpatient visit, typically 15 minutes	642	356	$101.00	$92.26
17000 Destruction of skin growth	405	248	$100.00	$47.91
17110 Destruction of up to 14 skin growths	264	184	$151.00	$107.55
11102 Tangential biopsy of single skin lesion	260	193	$136.00	$83.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	84	$147.00	$130.36
11103 Biopsy of related skin growth, each additional growth	101	57	$73.00	$51.40
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	66	39	$245.00	$164.11
17004 Destruction of precancer skin growth, 15 or more growths	63	35	$245.00	$173.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	46	$61.00	$57.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	30	$8.00	$1.07
11900 Injection into skin growth, 1-7 growths	27	26	$80.00	$38.09
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	27	18	$201.00	$117.63
11106 Incision biopsy, first skin growth	24	19	$207.00	$142.97
69100 Biopsy of ear	18	14	$140.00	$66.33
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$249.00	$185.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,000	17	$2.00	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	2,246	369	$15.00	$6.95
99213 Established patient office or other outpatient visit, typically 15 minutes	1,291	761	$101.07	$95.24
17000 Destruction of skin growth	796	514	$100.00	$48.74
17110 Destruction of up to 14 skin growths	512	379	$151.00	$111.67
11102 Tangential biopsy of single skin lesion	458	365	$136.00	$86.47
11103 Biopsy of related skin growth, each additional growth	238	133	$73.00	$53.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	137	$147.00	$133.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	96	$61.00	$59.71
17004 Destruction of precancer skin growth, 15 or more growths	105	70	$245.00	$177.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	69	$8.00	$1.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	103	69	$245.00	$160.57
11900 Injection into skin growth, 1-7 growths	81	64	$80.00	$41.33
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	65	57	$201.00	$133.87
11106 Incision biopsy, first skin growth	52	43	$207.00	$160.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$148.00	$119.28
96405 Administration of chemotherapy into growth, 1-7	39	17	$140.00	$76.91
J9190 Injection, fluorouracil, 500 mg	36	16	$3.17	$2.03
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	29	26	$249.00	$180.81
17111 Destruction of skin growth, 15 or more growths	28	24	$180.00	$132.28
69100 Biopsy of ear	28	27	$140.00	$69.63
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	24	22	$229.00	$149.15
97597 Removal of tissue from wound, 20.0 sq cm or less	24	20	$131.00	$107.52
11104 Punch biopsy, first skin growth	20	18	$171.00	$134.45
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$262.00	$200.43
96574 Application of light with debridement to destroy precancer skin growth	18	15	$300.00	$296.57
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$194.00	$127.86
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$287.00	$217.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,718	446	$15.00	$6.68
99213 Established patient office or other outpatient visit, typically 15 minutes	1,587	869	$101.03	$96.50
17000 Destruction of skin growth	960	613	$100.00	$48.39
17110 Destruction of up to 14 skin growths	647	452	$151.00	$110.41
11102 Tangential biopsy of single skin lesion	539	427	$136.17	$88.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	188	$147.32	$137.21
11103 Biopsy of related skin growth, each additional growth	243	142	$73.00	$56.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	144	$61.00	$59.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	99	$8.00	$1.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	127	101	$245.00	$178.40
17004 Destruction of precancer skin growth, 15 or more growths	115	77	$245.00	$175.55
11900 Injection into skin growth, 1-7 growths	102	90	$80.00	$41.05
11106 Incision biopsy, first skin growth	99	84	$207.00	$162.59
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	81	67	$201.00	$137.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$148.00	$119.73
69100 Biopsy of ear	46	42	$140.00	$72.39
97597 Removal of tissue from wound, 20.0 sq cm or less	39	34	$131.00	$105.48
11104 Punch biopsy, first skin growth	36	33	$171.00	$136.00
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	35	31	$229.00	$161.66
96405 Administration of chemotherapy into growth, 1-7	33	18	$140.00	$72.20
J9190 Injection, fluorouracil, 500 mg	33	18	$3.00	$1.77
17111 Destruction of skin growth, 15 or more growths	31	29	$180.00	$138.48
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	26	$262.00	$197.25
11107 Incision biopsy, each additional skin growth	21	17	$99.00	$77.25
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	20	19	$249.00	$181.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$178.93
11901 Injection into skin growth, more than 7 growths	16	11	$96.00	$66.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$166.00	$115.72
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$194.00	$151.19
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$120.00	$77.74
10061 Complicated or multiple drainage of skin abscess	11	11	$288.00	$229.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,000	13	$2.00	$1.48
17003 Destruction of precancer skin growth, 2-14 growths	3,047	459	$15.00	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	1,271	679	$101.07	$79.32
17000 Destruction of skin growth	975	608	$100.00	$47.45
17110 Destruction of up to 14 skin growths	605	446	$151.00	$111.52
11102 Tangential biopsy of single skin lesion	513	408	$136.00	$86.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	406	375	$147.00	$114.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	260	199	$61.23	$48.04
11103 Biopsy of related skin growth, each additional growth	207	139	$73.00	$56.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	140	108	$245.00	$176.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	83	$8.00	$1.45
11106 Incision biopsy, first skin growth	124	99	$207.00	$154.84
17004 Destruction of precancer skin growth, 15 or more growths	100	71	$245.00	$167.25
11900 Injection into skin growth, 1-7 growths	87	71	$80.00	$37.31
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	84	70	$201.00	$133.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$148.00	$114.24
97597 Removal of tissue from wound, 20.0 sq cm or less	45	39	$102.76	$100.97
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$120.00	$79.42
11107 Incision biopsy, each additional skin growth	41	22	$99.00	$74.35
J9190 Injection, fluorouracil, 500 mg	34	18	$3.00	$1.56
69100 Biopsy of ear	34	32	$140.00	$73.90
96405 Administration of chemotherapy into growth, 1-7	34	18	$140.00	$71.63
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	32	32	$229.00	$157.65
11104 Punch biopsy, first skin growth	32	31	$171.00	$128.77
17111 Destruction of skin growth, 15 or more growths	22	19	$180.00	$126.27
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$262.00	$195.09
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	21	21	$249.00	$184.68
10060 Simple or single drainage of skin abscess	12	12	$164.00	$124.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,145	492	$15.00	$6.03
99213 Established patient office or other outpatient visit, typically 15 minutes	1,423	730	$101.00	$77.46
17000 Destruction of skin growth	1,043	648	$100.00	$48.73
17110 Destruction of up to 14 skin growths	565	434	$151.00	$110.94
11102 Tangential biopsy of single skin lesion	562	438	$136.00	$87.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	340	230	$61.00	$47.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	310	$147.01	$113.47
11103 Biopsy of related skin growth, each additional growth	266	154	$73.00	$56.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	157	106	$4.87	$1.60
17004 Destruction of precancer skin growth, 15 or more growths	149	108	$245.00	$161.79
11106 Incision biopsy, first skin growth	136	109	$207.00	$156.36
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	119	92	$245.00	$172.47
11900 Injection into skin growth, 1-7 growths	117	99	$80.00	$37.58
96405 Administration of chemotherapy into growth, 1-7	65	27	$140.00	$74.99
J9190 Injection, fluorouracil, 500 mg	65	27	$3.00	$1.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$148.00	$114.46
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	61	48	$201.00	$130.91
97597 Removal of tissue from wound, 20.0 sq cm or less	53	36	$98.68	$91.84
69100 Biopsy of ear	39	34	$140.00	$89.67
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	36	34	$229.00	$150.07
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	27	26	$249.00	$184.89
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$120.00	$80.19
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	20	$262.00	$192.34
11104 Punch biopsy, first skin growth	20	20	$171.00	$130.96
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	14	$235.00	$100.59
17111 Destruction of skin growth, 15 or more growths	17	15	$180.00	$126.19
11107 Incision biopsy, each additional skin growth	16	15	$99.00	$76.06
10060 Simple or single drainage of skin abscess	16	16	$164.00	$125.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,622	525	$15.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,525	772	$95.13	$75.28
17000 Destruction of skin growth	1,156	700	$100.00	$47.42
11100 Biopsy of single growth of skin and/or tissue	849	594	$125.00	$93.83
17110 Destruction of up to 14 skin growths	582	430	$145.00	$112.40
11101 Biopsy of each additional growth of skin and/or tissue	449	231	$50.00	$34.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	338	259	$55.19	$45.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	303	$130.13	$111.36
17004 Destruction of precancer skin growth, 15 or more growths	156	103	$245.00	$150.47
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	152	110	$220.00	$161.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	151	106	$4.00	$1.80
11900 Injection into skin growth, 1-7 growths	111	89	$80.00	$42.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$140.00	$113.12
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	67	61	$180.00	$124.66
69100 Biopsy of ear	52	44	$140.00	$76.22
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	45	39	$236.00	$184.03
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	40	36	$204.00	$138.97
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	39	36	$220.00	$176.58
97597 Removal of tissue from wound, 20.0 sq cm or less	37	30	$90.00	$85.34
96405 Administration of chemotherapy into growth, 1-7	33	19	$140.00	$75.23
J9190 Injection, fluorouracil, 500 mg	31	18	$3.00	$1.62
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	24	18	$236.00	$189.33
17111 Destruction of skin growth, 15 or more growths	22	20	$215.00	$131.78
11901 Injection into skin growth, more than 7 growths	21	14	$93.00	$64.09
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$120.00	$78.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$255.00	$210.13
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	13	$720.00	$503.82
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$550.00	$450.99
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$210.00	$132.32
10060 Simple or single drainage of skin abscess	14	14	$150.00	$119.98
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$300.00	$141.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,244	489	$15.00	$5.90
99213 Established patient office or other outpatient visit, typically 15 minutes	1,422	764	$95.05	$74.34
17000 Destruction of skin growth	1,063	674	$100.00	$49.49
11100 Biopsy of single growth of skin and/or tissue	710	536	$125.00	$90.33
17110 Destruction of up to 14 skin growths	573	432	$145.00	$109.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	316	$130.12	$109.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	326	244	$55.20	$44.37
11101 Biopsy of each additional growth of skin and/or tissue	287	187	$50.00	$34.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	91	$4.00	$1.78
17004 Destruction of precancer skin growth, 15 or more growths	161	108	$245.00	$154.25
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	135	95	$220.00	$164.07
11900 Injection into skin growth, 1-7 growths	115	81	$80.00	$41.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$140.00	$111.58
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	70	58	$180.00	$124.32
69100 Biopsy of ear	38	35	$140.00	$76.59
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	28	26	$204.00	$150.93
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	22	$236.00	$181.98
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	21	$220.00	$156.96
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$120.00	$76.46
97597 Removal of tissue from wound, 20.0 sq cm or less	21	19	$90.00	$75.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$300.00	$135.37
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	18	$550.00	$443.43
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	14	$421.88	$355.80
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	14	$170.00	$136.61
17111 Destruction of skin growth, 15 or more growths	16	15	$215.00	$130.98
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$210.00	$109.04
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$255.00	$204.78

Medical Specialties & State Licenses

CMS Verified: 2021-03-30

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME0038989

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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

93992Y (FL)

Commercial Insurance / Payer ID State License

ME0038989 (FL)

Commercial Insurance / Payer ID Medicare Railroad

070012428 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Anthony Walker , CERT MEDICAL ASST

Specialist

NPI 1407074974

CERTMEDICALASST

Dr. Michael Sherling , MD

Dermatology

NPI 1407804644

Doctor of Medicine (M.D.)

Dr. Michelle Muhart , MD

Dermatology

NPI 1821072497

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2015

Registered at 5053 S CONGRESS AVE, STE 204, ATLANTIS, FL 334614706 (Tel: 5619697300)

📍

Updated Business Mailing Address April 20, 2015

Registered at 5053 S CONGRESS AVE, STE 204, LAKE WORTH, FL 334614706 (Tel: 5619697300)

👤

Provider Name / Credentials Updated April 20, 2015

Recorded as ROBERT DIBACCO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Dermatology (License #ME0038989 in FL)

🟢

Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134103716

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 06, 2005

Last Update: March 30, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5053 S Congress Ave, Ste 204

Lake Worth, FL 334614706

Phone: 5619697300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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