Organization
RICKY P. LOCKETT, D.O, PA
Active
Parent organization
RICKY P. LOCKETT, D.O, PA
Other names
Wound Healing Innovation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICKY P. LOCKETT, D.O, PA
Authorized official
DR. RICKY P. LOCKETT DO (DIRECTOR)
(727) 896-8686
Entity
Organization
Contact information
Practice address
2822 W VIRGINIA AVE, TAMPA, FL 33607-6330
(727) 452-9526
Mailing address
1501 5TH AVE N, ST PETERSBURG, FL 33705-2008
(727) 452-9526
(813) 200-8449
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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