Heartland Pediatrics Of Lake Wales, L.l.c.,
Pediatrics
Heartland Pediatrics Of Lake Wales, L.l.c., is a Lake Wales, Florida based Pediatric center with medical specialization in
General Pediatrics. Heartland Pediatrics Of Lake Wales, L.l.c., is also known as
Heartland Pediatrics Of Lake Wales, P.a..
It is located at
1354 State Road 60 E, Lake Wales, Florida - 33853-4322. They can be contacted on phone at
863-679-8888 and fax number 863-676-2851.
NPI number (Unique professional ID) for Heartland Pediatrics Of Lake Wales, L.l.c., is
1104989680 which was assigned by NPPES on 18 Dec, 2006 and it was last updated on 04 Sep, 2012.
Heartland Pediatrics Of Lake Wales, L.l.c., is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Heartland Pediatrics Of Lake Wales, L.l.c., basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Heartland Pediatrics Of Lake Wales, L.l.c., |
|---|
| Other Name : | Heartland Pediatrics Of Lake Wales, P.a. |
|---|
Business Address:
Heartland Pediatrics Of Lake Wales, L.l.c., address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1354 State Road 60 E
Lake Wales, FL, 33853-4322
United States |
|---|
| Phone Number : | 863-679-8888 |
|---|
| Fax Number : | 863-676-2851 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104989680 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 18 Dec, 2006 |
|---|
| Last Updated On : | 04 Sep, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Rajeswari Sonni |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | OFFICER AND MEDICAL DIRECTOR |
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| Phone Number : | 863-679-8888 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heartland Pediatrics Of Lake Wales, L.l.c., are as mentioned. Primary taxonomy code for Heartland Pediatrics Of Lake Wales, L.l.c., is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 261QR1300X | Clinic/Center Rural Health | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Heartland Pediatrics Of Lake Wales, L.l.c., such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 251469900 | MEDICAID | FL | |
| 251469901 | MEDICAID | FL | |
| 21247 | Other | FL | BLUE CROSS BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1354 State Road 60 E
Lake Wales, FL, 33853-4322
United States |
|---|
| Phone Number : | 863-679-8888 |
|---|
| Fax Number : | 863-676-2851 |
|---|
Business Location:
Patients can refer following map for directions to
Heartland Pediatrics Of Lake Wales, L.l.c., practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.