Whalio Doctors

NPI 1053972760

Adventhealth Polk South INC

Organisation General Acute Care Hospital Lake Wales, FL

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 (2)

General Acute Care Hospital Primary
Hospitals Taxonomy 282N00000X
Psychiatric Hospital Unit
Hospital Units Taxonomy 273R00000X

Registry record

NPI
1053972760
Entity type
Organization
NPI issued
24 Jun 2019
Record last updated
19 Jan 2024

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.