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Organization
RICKY P. LOCKETT, D.O, PA
Active
Organization
RICKY P. LOCKETT, D.O, PA
Active
Other names
Orthopedic Injury Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY P LOCKETT D.O. (MEDICAL DIRECTOR)
(727) 896-8686
Entity
Organization
Contact information
Practice address
5800 49TH ST N STE S-207, ST PETERSBURG, FL 33709-2146
(727) 896-8686
(727) 317-2716
Mailing address
1012 DRUID RD E, CLEARWATER, FL 33756-5606
(727) 896-8686
(727) 441-1158
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS6109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056170300
—
FL
Enumeration date
07/21/2011
Last updated
02/17/2021
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