Provider Demographics
NPI:1275755563
Name:R T SHERLOCK COMPANY
Entity Type:Organization
Organization Name:R T SHERLOCK COMPANY
Other - Org Name:ROBERT T SHERLOCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHERLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-817-5289
Mailing Address - Street 1:8511 NW 186TH ST
Mailing Address - Street 2:
Mailing Address - City:REDDICK
Mailing Address - State:FL
Mailing Address - Zip Code:32686-2216
Mailing Address - Country:US
Mailing Address - Phone:352-817-5289
Mailing Address - Fax:
Practice Address - Street 1:8511 NW 186TH ST
Practice Address - Street 2:
Practice Address - City:REDDICK
Practice Address - State:FL
Practice Address - Zip Code:32686-2216
Practice Address - Country:US
Practice Address - Phone:352-817-5289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1718171100000X
225700000X
Provider Taxonomies
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Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty