Heraud Pediatrics LLC

Pediatrics Physician · Lake Wales, FL

Organization Active NPI

NPI number 1639683857

Practice location

1120 Carlton Ave Ste 1300
Lake Wales, FL 33853-4347
Phone
(863) 676-6386

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NPI record

NPI
1639683857
Entity type
Organization (Type 2)
Enumeration date
November 27, 2017
Last updated
November 27, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Mailing address

9719 Camberley Cir
Orlando, FL 32836-5746

Authorized official

Name
Diego Heraud
Title
Owner
Phone
(314) 813-3750

About Heraud Pediatrics LLC

Heraud Pediatrics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1120 Carlton Ave Ste 1300, Lake Wales, FL 33853-4347. The NPI number 1639683857 was assigned on November 27, 2017 and the record was last updated on November 27, 2017.

The authorized official for this organization is Diego Heraud, Owner.

Frequently asked questions

What is the NPI number of Heraud Pediatrics LLC?

The NPI number is 1639683857.

What is the phone number of Heraud Pediatrics LLC?

The phone number listed for the practice location is (863) 676-6386.

Where is Heraud Pediatrics LLC located?

1120 Carlton Ave Ste 1300, Lake Wales, FL 33853-4347.

What is the taxonomy code for Heraud Pediatrics LLC?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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