DR. Marjorie Dina Bacon, MD
NPI #1174145304 in St Augustine, Florida
Provider Information
- NPI Number
- 1174145304
- Entity Type
- Individual
- Name
- DR. Marjorie Dina Bacon, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- May 11, 2020
- Last Updated
- Jul 16, 2025
Practice Location
- Address
- 442 PASEO REYES DR
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-8558
- Phone
- (904) 544-1738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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