Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heartland Pediatrics of Lake Wales, LLC

Organization Pediatrics Physician · NPI 1104989680

Heartland Pediatrics of Lake Wales, LLC is a Pediatrics Physician in Lake Wales, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1354 State Road 60 E
Lake Wales, FL 33853-4322
Phone: (863) 679-8888
Fax: (863) 676-2851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1104989680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurence Hren — Ceo · (863) 676-1770
Other names Heartland Pediatrics Of Lake Wales, P.A.
NPI enumeratedDecember 18, 2006
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address1354 State Road 60 E, Lake Wales, FL 33853-4322

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