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Individual
DR. RICKY P. LOCKETT
Active
Individual
DR. RICKY P. LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
59-3207217
FL
207Q00000X
Family Medicine Physician
OS6109
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS6109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596170300
—
FL
01
—
80494
BC/BS PROVIDER ID
FL
01
—
OS 6109
LICENSE NUMBER
FL
Enumeration date
11/06/2006
Last updated
12/02/2025
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