Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Specialty Orthopedic Associates Pl

Organization Orthopaedic Surgery Physician · NPI 1881792216

Specialty Orthopedic Associates Pl is an Orthopaedic Surgery Physician in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1204 Carlton Ave
Lake Wales, FL 33853
Phone: (863) 676-9523
Fax: (863) 678-3043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME85679 (FL)

Record details

NPI number1881792216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ponnavolu Reddy — Owner · (863) 676-9523
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 18, 2008
Mailing addressPo Box 552187, Tampa, FL 33655-0001

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