Organization · Type 2 NPI
Ricky P. Lockett, D.o, PA
Health Service Clinic/Center · Tampa, FL
NPI number
1366081325
Active
Practice location
2822 W Virginia Ave
Tampa, FL 33607-6330
Mailing address
1501 5th Ave N
St. Petersburg, FL 33705-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1366081325
Ricky P. Lockett, D.o, PA's National Provider Identifier is 1366081325, issued on Dec 22, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Tampa, FL. The record was last updated on Dec 22, 2019.