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Organization

HEARTLAND PEDIATRICS OF LAKE WALES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJESWARI SONNI M.D. (PRESIDENT MEDICAL DIRECTOR)
(863) 679-8888
Entity
Organization

Contact information

Practice address
1356 STATE ROAD 60 E, ORANGE GROVE PLAZA, LAKE WALES, FL 33853-4322
(863) 679-8888
(863) 676-2851
Mailing address
1356 STATE ROAD 60 E, ORANGE GROVE PLAZA, LAKE WALES, FL 33853-4322
(863) 679-8888
(863) 676-2851

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
FL

Other

Enumeration date
07/22/2006
Last updated
08/22/2020
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