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Contact Information

SPECIALTY ORTHOPEDIC ASSOCIATES PL
1204 CARLTON AVENUE
LAKE WALES, FL33853
 Phone: 863-676-9523
 Fax: 863-678-3043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SPECIALTY ORTHOPEDIC ASSOCIATES PL

NPI # 1881792216
LBN Legal business name SPECIALTY ORTHOPEDIC ASSOCIATES PL
Authorized official PONNAVOLU REDDY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 07/18/2008 - About 18 years ago
Identifiers
FL License # ME85679
Other DE2688 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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