Organization
FLOWER OF THE LAKE FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET ANN HAYDEN D.O. (PROVIDER/OWNER)
(352) 483-4400
Entity
Organization
Contact information
Practice address
720 N BAY ST, EUSTIS, FL 32726-2964
(352) 483-4400
(352) 357-8537
Mailing address
PO BOX 1688, EUSTIS, FL 32727-1688
(352) 483-4400
(352) 357-8537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80969
BLUECROSS BLUE SHIELD
FL
Enumeration date
12/22/2005
Last updated
11/01/2007
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