Lockwood, Maribel U

Lockwood, Maribel U is an individual health care provider with primary practice located at 1600 Phillips Rd , Tallahassee FL 32308-5304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Lockwood, Maribel U can be contacted via phone (850) 878-4127.

Contact Information

Primary practice address
1600 Phillips Rd Tallahassee FL 32308-5304
Phone: (850) 878-4127
Fax: (850) 878-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME76687 Florida

Profile Details

NPI number 1104879360
LBN Legal business name Lockwood, Maribel U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 6th, 2015 - about 10 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 1104879360 NPPES
Georgia MEDICAID 000904527C
Georgia MEDICAID 000904527A
Georgia MEDICAID 000904527D
Georgia MEDICAID 258979600
Georgia Other 35747

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