HEARTLAND PEDIATRICS OF LAKE WALES, P.A.
NPI 1063433076
Pediatrics in Lake Wales, FL

Q: What is Heartland Pediatrics Of Lake Wales, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 22, 2006CLIA 10D0931612 · Waiver

1356 STATE ROAD 60 E, ORANGE GROVE PLAZA, LAKE WALES, FL 33853(863) 679-8888(863) 676-2851 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heartland Pediatrics Of Lake Wales, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND PEDIATRICS OF LAKE WALES, P.A. (NPI 1063433076) is a healthcare organization registered as a pediatrics in Lake Wales, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Rajeswari Sonni, President Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063433076

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameHEARTLAND PEDIATRICS OF LAKE WALES, P.A.

Location Address1356 STATE ROAD 60 E, ORANGE GROVE PLAZALake Wales, FL 33853-4322

Mailing Address1356 State Road 60 E, Orange Grove PlazaLake Wales, FL 33853-4322 · (863) 679-8888 · Fax (863) 676-2851

Phone(863) 679-8888

Fax(863) 676-2851

Organization SubpartNo

Authorized OfficialRajeswari SonniPresident Medical Director · (863) 679-8888

Enumeration DateJuly 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1063433076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician 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.

1356 STATE ROAD 60 E, Lake Wales, FL 33853

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0931612

Heartland Pediatrics Of Lake Wales · Lake Wales, FL

Active · expires Jul 31, 2027

CLIA Number10D0931612

Laboratory TypePhysician Office

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorRajeswari Sonni

Laboratory Phone(863) 679-8888

Laboratory LocationHeartland Pediatrics Of Lake Wales1354 State Road 60 East, Lake Wales, FL 33853

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCELA JATIVA M.D.

Pediatrics

1356 STATE ROAD 60 E
LAKE WALES, FL 33853

Polk County (863) 679-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Pediatrics Of Lake Wales, P.A.'s NPI number?

The NPI number for Heartland Pediatrics Of Lake Wales, P.A. is 1063433076. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Heartland Pediatrics Of Lake Wales, P.A. located?

Heartland Pediatrics Of Lake Wales, P.A. is located at 1356 State Road 60 E Orange Grove Plaza, Lake Wales, FL 33853. The listed phone number is (863) 679-8888.

What is Heartland Pediatrics Of Lake Wales, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Heartland Pediatrics Of Lake Wales, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0931612) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heartland Pediatrics Of Lake Wales, P.A. accept?

Health plans from UnitedHealthcare list Heartland Pediatrics Of Lake Wales, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heartland Pediatrics Of Lake Wales, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.