Healthcare Provider Details

I. General information

NPI: 1639006109
Provider Name (Legal Business Name): DARLENE LATRICE HAGINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 REDWOOD RUN LOOP
OCALA FL
34472-6221
US

IV. Provider business mailing address

18 REDWOOD RUN LOOP
OCALA FL
34472-6221
US

V. Phone/Fax

Practice location:
  • Phone: 352-364-3386
  • Fax:
Mailing address:
  • Phone: 352-364-3386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9406908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: