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Reginald Dean Locklear, PA
Medical Physician Assistant in Miami, Florida
NPI 1609869452

Reginald Dean Locklear is a Medical Physician Assistant based in Plantation, FL and is specialized in Medical. Reginald Dean Locklear practices in Miami, FL and has the professional credentials of PA. The NPI Number for Reginald Dean Locklear is 1609869452 and holds a License No. PA9110529 (Florida).

The current practice location address for Reginald Dean Locklear is 1610 Ne Miami Gardens Dr, Miami, FL and can be reached out via phone at 305-940-6061 and via fax at 305-940-6167. You can also correspond with Reginald Dean Locklear through the mailing address at 900 S PINE ISLAND RD STE 800, PLANTATION, FL - 33324-3923 (mailing address contact number: 305-940-6016).

Location: 1610 Ne Miami Gardens Dr, Miami, FL, 33324-3923
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Provider Profile Details
NPI Number
1609869452
Provider Name
Reginald Dean Locklear
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1610 Ne Miami Gardens Dr, Miami, FL, 33324-3923
Phone Number
305-940-6061
Fax Number
305-940-6167
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021847500 05 FL
institution
Provider Business Practice Location Address Details
Address
1610 Ne Miami Gardens Dr
City
State
Zip
33179-4900
Phone Number
305-940-6061
Fax Number
305-940-6167
person
Provider Business Mailing Address Details
Address
900 S Pine Island Rd Ste 800
City
State
Zip
33324-3923
Phone Number
305-940-6016
Fax Number
305-940-6167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9110529 (Florida)
Definition
Definition to come...
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