# HEARTLAND PEDIATRICS ASSOCIATION OF WAUCHULA, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144241134
- **Authorized official:** APURBA MANIK MD (PRESIDENT)
- **Authorized official phone:** (863) 767-1414

## Contact information

- **Practice address:** 120 HEARTLAND WAY, WAUCHULA, FL 33873-5000
- **Practice address phone:** (863) 767-1414
- **Practice address fax:** (863) 767-1763
- **Mailing address:** 120 HEARTLAND WAY, WAUCHULA, FL 33873-5000
- **Mailing address phone:** (863) 767-1414
- **Mailing address fax:** (863) 767-1763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 07/16/2020