Donna L Bacon MD PA

NPI #1306088802 in Rockledge, Florida

Provider Information

NPI Number: 1306088802
Entity Type: Organization
Organization Name: Donna L Bacon MD PA
Primary Specialty: Family Medicine
Enumeration Date: Mar 30, 2009
Last Updated: Oct 31, 2023

Practice Location

Address: 1282 US HIGHWAY 1 STE 1
City: Rockledge
State: Florida
ZIP Code: 32955-2747
Phone: (321) 631-3693

Authorized Official

Name: DR. DONNA L BACON, MD
Title: PRESIDENT
Phone: (321) 631-3693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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