Organization
AVON PARK 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
1571 US HIGHWAY 27 N, AVON PARK, FL 33825-2150
(863) 453-7337
(863) 452-9790
Mailing address
1571 US HIGHWAY 27 N, AVON PARK, FL 33825-2150
(863) 453-7337
(863) 452-9790
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
—
000784400
—
FL
05
—
001524200
—
FL
Enumeration date
02/03/2009
Last updated
01/08/2025
Update your record
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