Heartland Pediatrics of Lake Wales, P.a.
NPI #1063433076 in Lake Wales, Florida
Provider Information
- NPI Number
- 1063433076
- Entity Type
- Organization
- Organization Name
- Heartland Pediatrics of Lake Wales, P.a.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1356 STATE ROAD 60 E
- Address 2
- ORANGE GROVE PLAZA
- City
- Lake Wales
- State
- Florida
- ZIP Code
- 33853-4322
- Phone
- (863) 679-8888
Authorized Official
- Name
- DR. RAJESWARI SONNI, M.D.
- Title
- PRESIDENT MEDICAL DIRECTOR
- Phone
- (863) 679-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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