Hagan, Leslie

Hagan, Leslie is an individual health care provider with primary practice located at 1541 Sw 1St Ave Sutie 105, Ocala FL 34471-6532. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Hagan, Leslie can be contacted via phone (352) 622-8152.

Contact Information

Primary practice address
1541 Sw 1St Ave Sutie 105 Ocala FL 34471-6532
Fax: (352) 622-4408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME14334 Florida

Profile Details

NPI number 1710923156
LBN Legal business name Hagan, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710923156 NPPES
Florida Other 79545 BCBS

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