HEARTLAND SURGICAL ASSISTANTS, INC
NPI 1689764763
Physician Assistant in Winter Haven, FL

Q: What is Heartland Surgical Assistants, Inc's NPI number?

The NPI number for Heartland Surgical Assistants, Inc is 1689764763. It was assigned to this organization in the NPPES registry on October 13, 2006.

Q: What is Heartland Surgical Assistants, Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since October 13, 2006

200 AVENUE F NE, WINTER HAVEN, FL 33881(863) 381-7647 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 18, 2017 (3 updates tracked since 2017).

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About Heartland Surgical Assistants, Inc NPPES

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

HEARTLAND SURGICAL ASSISTANTS, INC (NPI 1689764763) is a healthcare organization registered as a physician assistant in Winter Haven, Florida and active in the NPI registry since October 2006. The organization maintains 2 additional practice locations and lists Kevin K Carlisle, President, as its authorized official.

NPPES Registry Identity

NPI1689764763

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameHEARTLAND SURGICAL ASSISTANTS, INC

Location Address200 AVENUE F NEWinter Haven, FL 33881-4131

Mailing Address5112 Lake Deeson Woods CtLakeland, FL 33805-7638 · (863) 381-7632 · Fax (863) 606-5713

Phone(863) 381-7647

Organization SubpartNo

Authorized OfficialKevin K CarlislePresident · (863) 381-7632

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1689764763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA1682

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

200 AVENUE F NE, Winter Haven, FL 33881

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Secondary Practice Locations 2

Location 14200 Sun N Lake BlvdSebring, FL 33872-1986 · Phone (863) 471-1413 · Fax (863) 471-1416

Location 21324 Lakeland Hills BlvdLakeland, FL 33805-4543 · Phone (863) 381-7647

Other Identifiers 2

OtherDA4132FL · Railroad Medicare

OtherX1592FL · Bcbs

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

JARED LARKIN DO

Student in an Organized Health Care Education/Training Program