MEDICARE: HEARTLAND INTERNAL MEDICINE ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1912934266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND INTERNAL MEDICINE ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	4301 SUN N LAKE BLVD
Second Line	:	SUITE 103
City	:	SEBRING
State	:	FL
Zip	:	33872-2162
Country	:	US
Telephone Number	:	863-385-8010
Fax Number	:	863-385-8144

Provider Business Practice Location Address
First Line	:	4301 SUN N LAKE BLVD
Second Line	:	SUITE 103
City	:	SEBRING
State	:	FL
Zip	:	33872-2162
Country	:	US
Telephone Number	:	863-385-8010
Fax Number	:	863-385-8144

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE F GONZALEZ
Credential	:	M.D.
Telephone Number	:	863-385-8010

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	08/22/2020

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