Individual provider · Type 1 NPI

Marjorie Dina Bacon, MD

Family Medicine Physician · St. Augustine, FL

NPI number 1174145304 Active

Practice location

442 Paseo Reyes Dr
St. Augustine, FL 32095-8558

Fax (904) 872-8863

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X338808 (LA)
Family Medicine Physician 207Q00000X1908R77909 (AZ)
Family Medicine Physician Primary 207Q00000XME158234 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1174145304

Marjorie Dina Bacon, MD's National Provider Identifier is 1174145304, issued on May 11, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 16, 2025.