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Contact Information

DOROTHY DAWN IBASCO, APRN
450 E MERRITT ISLAND CSWY STE 200
MERRITT ISLAND, FL32952-3503
 Phone: 321-735-6220
 Fax: 321-507-4638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DOROTHY DAWN IBASCO · (Female)

NPI # 1356731715
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 01/23/2015
Last updated 05/15/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN9352814
  • FL License # ARNP 9352814
  • FL Medicaid 014492800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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