NPI 1033770284
Adventhealth Polk South INC
Practice location
- Address
- 410 S 11th St, Lake Wales, FL 33853-4203
- Phone
- (863) 676-1433
- Fax
- (863) 297-1867
Authorised official
- Name
- Alan Justin Hengesbach
- Title
- Cfo
- Phone
- (863) 419-2260
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1033770284
- Entity type
- Organization
- NPI issued
- 27 Jun 2019
- Record last updated
- 18 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.