Individual
PONNAVOLU D. REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5115 US HIGHWAY 27 N STE 100, SEBRING, FL 33870-1323
(863) 385-2222
(863) 382-8765
Mailing address
5115 US HIGHWAY 27 N STE 100, SEBRING, FL 33870-1323
(863) 385-2222
(863) 382-8765
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME85679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285029
AVMED
—
01
—
51459
BCBS OF FL
FL
01
—
P00282100
RAILROAD MEDICARE
—
Enumeration date
06/28/2005
Last updated
02/27/2024
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