Organization
FLOWER OF THE LAKE FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET HAYDEN DO (PRESIDENT)
(352) 357-7200
Entity
Organization
Contact information
Practice address
720 N BAY ST, SUITE 5, EUSTIS, FL 32726-2964
(352) 357-7200
(352) 357-7100
Mailing address
720 N BAY ST, SUITE 5, EUSTIS, FL 32726-2964
(352) 357-7200
(352) 357-7100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS6731
FL
Other
Enumeration date
12/10/2009
Last updated
08/16/2010
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