# JIMMY LOCKHART MD, PL

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

## Provider details

- **NPI number:** 1023203825
- **Authorized official:** DR. JIMMY WAYNE LOCKHART M.D (PRESIDENT)
- **Authorized official phone:** (772) 778-2106

## Contact information

- **Practice address:** 1600 37TH ST, VERO BEACH, FL 32960-4863
- **Practice address phone:** (772) 778-2106
- **Practice address fax:** (772) 562-5739
- **Mailing address:** 1600 37TH ST, VERO BEACH, FL 32960-4863
- **Mailing address phone:** (772) 778-2106
- **Mailing address fax:** (772) 562-5739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME90530 | FL | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 02/21/2008