Healthcare Provider Details

I. General information

NPI: 1497663264
Provider Name (Legal Business Name): REDDY MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 AVENUE C NE
WINTER HAVEN FL
33881-4558
US

IV. Provider business mailing address

9733 WYLAND CT
WINDERMERE FL
34786-5610
US

V. Phone/Fax

Practice location:
  • Phone: 863-294-7959
  • Fax: 863-294-9338
Mailing address:
  • Phone: 863-294-7959
  • Fax: 863-294-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHOK G REDDY
Title or Position: MEMBER/OWNER
Credential: MD
Phone: 863-557-4064