SPECIALTY ORTHOPEDIC ASSOCIATES PL NPI 1881792216

NPI Information

  • NPI: 1881792216
  • Provider Name: SPECIALTY ORTHOPEDIC ASSOCIATES PL
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 1204 CARLTON AVENUE
    LAKE WALES, FL
    ZIP 33853
  • Phone: (863) 676-9523

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NPI Details

SPECIALTY ORTHOPEDIC ASSOCIATES PL is an orthopaedic surgery in Lake Wales, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SPECIALTY ORTHOPEDIC ASSOCIATES PL NPI is 1881792216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1204 CARLTON AVENUE
LAKE WALES, FL
ZIP 33853
Phone: (863) 676-9523
Fax: (863) 678-3043

The provider's authorized official is Ponnavolu D Reddy .
The authorized official title is Owner and has the following contact phone number (863) 676-9523.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryME85679FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15842690001MEDICARE NSCFLORIDA
2K8259MEDICARE PINFLORIDA
3DE2688OTHERRAILROAD MEDICARE
4K8259MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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