HEARTLAND PEDIATRICS OF LAKE WALES, LLC - NPI 1104989680

Q: What is Heartland Pediatrics Of Lake Wales, LLC's specialty?

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

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About Heartland Pediatrics Of Lake Wales, Llc NPPES

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

HEARTLAND PEDIATRICS OF LAKE WALES, LLC (NPI 1104989680), doing business as Heartland Pediatrics Of Lake Wales, P.a., is a healthcare organization registered as a pediatrics in Lake Wales, Florida and active in the NPI registry since December 2006. The organization lists Laurence Thomas Hren, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104989680

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameHEARTLAND PEDIATRICS OF LAKE WALES, LLC

Location Address1354 STATE ROAD 60 ELake Wales, FL 33853-4322

Mailing Address1354 State Road 60 ELake Wales, FL 33853-4322 · (863) 679-8888 · Fax (863) 676-2851

Phone(863) 679-8888

Fax(863) 676-2851

Organization SubpartNo

Authorized OfficialLaurence Thomas HrenCeo · (863) 676-1770

Enumeration DateDecember 18, 2006

Last NPPES UpdateJanuary 8, 2025

NPPES CertifiedJanuary 8, 2025

✔ NPI 1104989680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

1354 STATE ROAD 60 E, Lake Wales, FL 33853

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Other Names 1

Former Legal Business NameHeartland Pediatrics Of Lake Wales, P.a.

Other Identifiers 3

Medicaid251469900FL

Other21247FL · Blue Cross Blue Shield

Medicaid251469901FL

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MATTHEW WILLIAM SPRUNT PA-C

Physician Assistant

1354 STATE ROAD 60 E
LAKE WALES, FL 33853

Polk County (863) 679-8888

MS. KAREN KELLEY MATHIS PAC

Physician Assistant (Medical)

1354 STATE ROAD 60 E
LAKE WALES, FL 33853

Polk County (863) 679-8888

STACY TESTA PA-C

Physician Assistant

1354 STATE ROAD 60 E
LAKE WALES, FL 33853

Polk County (863) 679-8888

DR. RAJESWARI S SONNI M.D.

Pediatrics

1354 STATE ROAD 60 E
LAKE WALES, FL 33853

Polk County (863) 382-0566

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, LLC's NPI number?

The NPI number for Heartland Pediatrics Of Lake Wales, LLC is 1104989680. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider was formerly known as Heartland Pediatrics Of Lake Wales, P.A..

Where is Heartland Pediatrics Of Lake Wales, LLC located?

Heartland Pediatrics Of Lake Wales, LLC is located at 1354 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 679-8888.

What is Heartland Pediatrics Of Lake Wales, LLC's specialty?

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

What insurance does Heartland Pediatrics Of Lake Wales, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Heartland Pediatrics Of Lake Wales, LLC 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, LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.