HEARTLAND PEDIATRICS OF LAKE WALES, P.A. – Pediatrics Physician, NPI 1063433076

Pediatrics Physician

HEARTLAND PEDIATRICS OF LAKE WALES, P.A. is a healthcare provider. based in Lake wales, Florida. specializing in Pediatrics Physician. The NPI Number for HEARTLAND PEDIATRICS OF LAKE WALES, P.A. is 1063433076

Main info

Organization

Name

HEARTLAND PEDIATRICS OF LAKE WALES, P.A.

NPI

1063433076

Phone

(863) 679-8888

Address

1356 STATE ROAD 60 E

Authorized Official

DR. RAJESWARI SONNI PRESIDENT MEDICAL DIRECTOR M.D.

Enumeration Date

22 July 2006

Last Update Date

22 August 2020

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience43

Completeness75

Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for HEARTLAND PEDIATRICS OF LAKE WALES, P.A.

1356, State Road 60, Lake Wales, Polk County, Florida, 33853, United States
ORANGE GROVE PLAZA
LAKE WALES, FL 338534322
Phone: (863) 679-8888
Fax: (863) 676-2851
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33853)

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Reviews

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Frequently asked questions

Does HEARTLAND PEDIATRICS OF LAKE WALES, P.A. share an NPI with anyone else?

NPI numbers are unique to each provider or organization — HEARTLAND PEDIATRICS OF LAKE WALES, P.A. uses 1063433076.

Is HEARTLAND PEDIATRICS OF LAKE WALES, P.A. still practicing?

HEARTLAND PEDIATRICS OF LAKE WALES, P.A. is currently listed as active in the public NPI registry.

What healthcare role does HEARTLAND PEDIATRICS OF LAKE WALES, P.A. hold?

Scheduling teams often label HEARTLAND PEDIATRICS OF LAKE WALES, P.A. under Pediatrics Physician. Clinical services aligned with this taxonomy classification.

Where should I expect HEARTLAND PEDIATRICS OF LAKE WALES, P.A. on a map?

Expect Lake Wales, Florida as a primary anchor for HEARTLAND PEDIATRICS OF LAKE WALES, P.A. unless the record lists multiple sites.

Why does HEARTLAND PEDIATRICS OF LAKE WALES, P.A. have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.