Organization
SONNI'S PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE THOMAS HREN (CEO)
(863) 676-1770
Entity
Organization
Contact information
Practice address
1125 S 6TH AVE, WAUCHULA, FL 33873-3350
(863) 767-1616
(863) 767-1619
Mailing address
1125 S 6TH AVE, WAUCHULA, FL 33873-3350
(863) 767-1616
(863) 767-1619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004416500
—
FL
05
—
006449300
—
FL
Enumeration date
06/06/2011
Last updated
01/08/2025
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