Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marjorie Dina Bacon, MD

Individual provider Family Medicine Physician · NPI 1174145304

Dr. Marjorie Dina Bacon, MD is a Family Medicine Physician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Arizona, Florida and Louisiana.

Licensed in
AZ, FL, LA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

442 Paseo Reyes Dr
St Augustine, FL 32095-8558
Phone: (904) 544-1738
Fax: (904) 872-8863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME158234 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 338808 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1908R77909 (AZ)

Record details

NPI number1174145304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 11, 2020
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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