Individual
DR. LESLIE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 SW 1ST AVE, SUTIE 105, OCALA, FL 34471-6532
(352) 622-8152
(352) 622-4408
Mailing address
8205 NW HIGHWAY 225, OCALA, FL 34482-1859
(352) 351-2280
(352) 351-3909
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME14334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79545
BCBS
FL
Enumeration date
06/22/2006
Last updated
08/16/2010
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