# FLOWER OF THE LAKE FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861478760
- **Authorized official:** DR. MARGARET ANN HAYDEN D.O. (PROVIDER/OWNER)
- **Authorized official phone:** (352) 483-4400

## Contact information

- **Practice address:** 720 N BAY ST, EUSTIS, FL 32726-2964
- **Practice address phone:** (352) 483-4400
- **Practice address fax:** (352) 357-8537
- **Mailing address:** PO BOX 1688, EUSTIS, FL 32727-1688
- **Mailing address phone:** (352) 483-4400
- **Mailing address fax:** (352) 357-8537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 11/01/2007