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Organization

JIMMY LOCKHART MD, PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMMY WAYNE LOCKHART M.D (PRESIDENT)
(772) 778-2106
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME90530
FL

Other

Enumeration date
09/14/2007
Last updated
02/21/2008
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