Healthcare Provider Details

I. General information

NPI: 1871284075
Provider Name (Legal Business Name): RHONTASHA N GERRICK ND, AP, DIP OM, L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10006 WELLNESS WAY STE 130
ORLANDO FL
32832-7150
US

IV. Provider business mailing address

10006 WELLNESS WAY STE 130
ORLANDO FL
32832-7150
US

V. Phone/Fax

Practice location:
  • Phone: 407-250-4062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP4468
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099.0134204
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: