Healthcare Provider Details

I. General information

NPI: 1275755563
Provider Name (Legal Business Name): R T SHERLOCK COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8511 NW 186TH ST
REDDICK FL
32686-2216
US

IV. Provider business mailing address

8511 NW 186TH ST
REDDICK FL
32686-2216
US

V. Phone/Fax

Practice location:
  • Phone: 352-817-5289
  • Fax:
Mailing address:
  • Phone: 352-817-5289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1718
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT T SHERLOCK
Title or Position: PRES.
Credential:
Phone: 352-817-5289