Bacon, Donna Louise
Bacon, Donna Louise is an sole proprietor health care provider with primary practice located at 1282 Us Highway 1 Ste 1 , Rockledge FL 32955-2747. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bacon, Donna Louise can be contacted via phone (321) 631-3693.Contact Information
Primary practice address
1282 Us Highway 1 Ste 1
Rockledge FL 32955-2747
Phone: (321) 631-3693
Fax: (321) 631-7618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME71719 | Florida |
Profile Details
| NPI number | 1215934476 |
|---|---|
| LBN Legal business name | Bacon, Donna Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Jun 18th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215934476 | NPPES |
| Florida | MEDICAID | 101544100 |
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