Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michelle Renee Dibetta, MD

Individual provider Family Medicine Physician · NPI 1649531047

Dr. Michelle Renee Dibetta, MD is a Family Practice in Bradenton, Florida. Graduated from University of Tennessee, Hsc, College of Medicine in 2012, 14 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
FL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6150 State Road 70 E
Bradenton, FL 34203-9712
Phone: (941) 822-8777
Fax: (941) 822-8770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME118512 (FL)

Record details

NPI number1649531047
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2012
Last updated in NPPESApril 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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