Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Heartland Pediatrics of Lake Wales, PA

Organization Pediatrics Physician · NPI 1063433076

Heartland Pediatrics of Lake Wales, PA provides Pediatrics Physician services 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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