Organization
ADVENTHEALTH POLK SOUTH INC
Active
Organization
ADVENTHEALTH POLK SOUTH INC
Active
Parent organization
ADVENTHEALTH POLK SOUTH INC
Other names
AdventHealth Lake Wales
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTHEALTH POLK SOUTH INC
Authorized official
ALAN JUSTIN HENGESBACH (CFO)
(863) 419-2260
Entity
Organization
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
(863) 297-1867
Mailing address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
(863) 297-1867
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
05/18/2022
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