NPI | 1306088802 |
---|---|
Doing Business As | DONNA L BACON, MD, PA |
Entity Type | Organization |
Authorized Contact | DONNA L BACON President 321-631-3693 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME71719) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2023-10-31 |