| Doctor Name: | DR. LESLIE HAGAN |
| NPI Number: | 1710923156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ME14334 |
| Business Practice Address: | 1541 Sw 1st Ave Sutie 105 Ocala, FL - 344716532 |
| Business Phone Number: | 3526228152 |
| Business Fax Number: | 3526224408 |
| Mailing Address: | 8205 Nw Highway 225, OCALA |
| State: | FL |
| Postal Code: | 344821859 |
| Phone Number: | 3523512280 |
| Fax Number: | 3523513909 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 08/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME14334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |