| Heartland Pediatrics Of Lake Wales, Llc | |
|
1354 State Road 60 E Lake Wales FL 33853-4322 | |
| (863) 679-8888 | |
| (863) 676-2851 |
| Full Name | Heartland Pediatrics Of Lake Wales, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 1354 State Road 60 E, Lake Wales, Florida |
| Authorized Official Name and Position | Laurence Thomas Hren (CEO) |
| Authorized Official Contact | 8636761770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Pediatrics Of Lake Wales, Llc 1354 State Road 60 E Lake Wales FL 33853-4322 Ph: (863) 679-8888 | Heartland Pediatrics Of Lake Wales, Llc 1354 State Road 60 E Lake Wales FL 33853-4322 Ph: (863) 679-8888 |
| NPI Number | 1104989680 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 4688770738 |
|---|---|
| Medicare Enrollment ID | O20070507000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104989680 | NPI | - | NPPES |
| 251469900 | Medicaid | FL | |
| 21247 | Other | FL | BLUE CROSS BLUE SHIELD |
| 251469901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Central Florida Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 863-676-0054 Fax: 863-676-0079 | |
P. Rene Navarro, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Druid Cir, Lake Wales, FL 33853 Phone: 863-676-0702 Fax: 863-676-2305 | |
Physicians Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 | |
Lakeland Regional Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Emerald Ave, Lake Wales, FL 33853 Phone: 863-676-0014 Fax: 863-284-6825 | |
American Care Of North Florida, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Carlton Ave Ste 1500, Lake Wales, FL 33853 Phone: 863-270-4546 Fax: 863-638-6337 | |
Best Value Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 S 11th St, Lake Wales, FL 33853 Phone: 863-679-8000 |