John Bacon
John Bacon is a Family Nurse Practitioner in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
4450 E Fletcher Ave Ste CTampa, FL 33613-4907
Phone: (813) 975-2800
Fax: (813) 977-7924
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11032861 (FL) |
|---|
Record details
| NPI number | 1609611730 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2024 |
| Last updated in NPPES | June 1, 2026 |
| Certification date | June 1, 2026 |
| Mailing address | 4450 E Fletcher Ave Ste C, Tampa, FL 33613-4907 |
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