| NPI | 1104989680 |
|---|---|
| Former Legal Business Name | HEARTLAND PEDIATRICS OF LAKE WALES, P.A. |
| Entity Type | Organization |
| Authorized Contact | LAURENCE THOMAS HREN CEO 863-676-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-01-08 |