Individual provider · Type 1 NPI

John Bacon

Family Nurse Practitioner · Tampa, FL

NPI number 1609611730 Active

Practice location

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907

Fax (813) 977-7924

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11032861 (FL)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

Other family nurse practitioner providers in Tampa

See all in Tampa →

About NPI 1609611730

John Bacon's National Provider Identifier is 1609611730, issued on Jun 29, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tampa, FL. The record was last updated on Jun 1, 2026.