Individual
DR. RICKY P. LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5800 49TH ST N STE S-207, SAINT PETERSBURG, FL 33709-2146
(727) 896-8686
(727) 317-2716
Mailing address
PO BOX 2788, PINELLAS PARK, FL 33780-2788
(727) 896-8686
(727) 317-2716
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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