Specialty Orthopedic Associates Pl

LBN: Specialty Orthopedic Associates Pl
Specialty Orthopedic Associates Pl is an health care organization with primary practice located at 1204 Carlton Avenue , Lake Wales FL 33853. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Specialty Orthopedic Associates Pl can be contacted via phone (863) 676-9523, or through Reddy, Ponnavolu D via phone (863) 676-9523.

Contact Information

Primary practice address
1204 Carlton Avenue Lake Wales FL 33853
Phone: (863) 676-9523
Fax: (863) 678-3043
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Ponnavolu D Doctor of Medicine (MD)
Phone: (863) 676-9523

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME85679 Florida

Profile Details

NPI number 1881792216
LBN Legal business name Specialty Orthopedic Associates Pl
DBA Doing business as
Authorized official Reddy, Ponnavolu D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881792216 NPPES
Other DE2688 RAILROAD MEDICARE

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