Flower of the Lake Family Practice, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLOWER OF THE LAKE FAMILY PRACTICE, PA

Practice address

720 N Bay St
Eustis, FL 32726-2964

Phone

(352) 483-4400

Fax

(352) 357-8537

NPI assigned

Dec 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Margaret Ann Hayden, D.O.

Title

Provider/Owner

Phone

(352) 483-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1861478760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1688",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327271688",
            "telephone_number": "352-483-4400",
            "fax_number": "352-357-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262964",
            "telephone_number": "352-483-4400",
            "fax_number": "352-357-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER OF THE LAKE FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "352-483-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "80969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette J Fisher
• Florida Department of Health (lake county health Department)
• Florida First Care, Inc.
• Florida Physical Therapy & Wellness Ctr LLC
• Flower of the Lake Family Practice PA
• Floyd S Dillard MD PA
• Brittany Forbes
• Vance Forde
• David Forster
• Alice Arlene Francis

• Family Medicine Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.