Individual
MISS MARY KAY LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC L
Contact information
Practice address
1800 BARRS ST, ST VINCENTS MEDICAL CENTER, JACKSONVILLE, FL 32204
(904) 308-7741
Mailing address
126 TORTUGA LANE, PONTE VEDRA BEACH, FL 32082
(904) 254-9663
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
AL1939
FL
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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