Provider Demographics
NPI:1154560548
Name:LOCKWOOD, ROBIN ROY (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ROY
Last Name:LOCKWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 12TH ST STE 212
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3001
Mailing Address - Country:US
Mailing Address - Phone:305-296-2212
Mailing Address - Fax:305-296-2209
Practice Address - Street 1:1111 12TH ST STE 212
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3001
Practice Address - Country:US
Practice Address - Phone:305-296-2212
Practice Address - Fax:305-296-2209
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27007207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery