# SPECIALTY ORTHOPEDIC ASSOCIATES PL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881792216
- **Authorized official:** DR. PONNAVOLU D REDDY M.D. (OWNER)
- **Authorized official phone:** (863) 676-9523

## Contact information

- **Practice address:** 1204 CARLTON AVENUE, LAKE WALES, FL 33853
- **Practice address phone:** (863) 676-9523
- **Practice address fax:** (863) 678-3043
- **Mailing address:** PO BOX 552187, TAMPA, FL 33655-0001
- **Mailing address phone:** (863) 676-9523
- **Mailing address fax:** (863) 678-3043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME85679 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/18/2008