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1255350245
JORGE L LOCKHART
TAMPA, FL
NPI
1255350245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME35501)
Enumeration Date
2006-07-19
Last Update Date
2019-10-08
Business Address
JORGE L LOCKHART MD
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
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Mailing Address
JORGE L LOCKHART MD
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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