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

Heartland Pediatrics of Lake Wales, PA

Organization Pediatrics Physician · NPI 1063433076

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

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1356 State Road 60 E Orange Grove Plz
Lake Wales, FL 33853-4322
Phone: (863) 679-8888
Fax: (863) 676-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (FL)

Record details

NPI number1063433076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajeswari Sonni — President Medical Director · (863) 679-8888
NPI enumeratedJuly 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1356 State Road 60 E, Orange Grove Plaza, Lake Wales, FL 33853-4322

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