Locklear, Reginald Dean

Locklear, Reginald Dean is an individual health care provider with primary practice located at 1610 Ne Miami Gardens Dr , Miami FL 33179-4900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Locklear, Reginald Dean can be contacted via phone (305) 940-6061.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr Miami FL 33179-4900
Phone: (305) 940-6061
Fax: (305) 940-6167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110529 Florida

Profile Details

NPI number 1609869452
LBN Legal business name Locklear, Reginald Dean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated May 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609869452 NPPES
Florida MEDICAID 021847500

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