Provider Demographics
NPI:1043886310
Name:SEELMANN, FREDERICK R
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:R
Last Name:SEELMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:RUDY
Other - Middle Name:
Other - Last Name:SEELMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3309 WHITELEAF CIR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4943
Mailing Address - Country:US
Mailing Address - Phone:850-469-7567
Mailing Address - Fax:
Practice Address - Street 1:1000 W MORENO ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-2316
Practice Address - Country:US
Practice Address - Phone:850-469-7567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS367841835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy