Healthcare Provider Details

I. General information

NPI: 1043886310
Provider Name (Legal Business Name): FREDERICK R SEELMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RUDY SEELMANN PHARMD

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W MORENO ST
PENSACOLA FL
32501-2316
US

IV. Provider business mailing address

3309 WHITELEAF CIR
PENSACOLA FL
32504-4943
US

V. Phone/Fax

Practice location:
  • Phone: 850-469-7567
  • Fax:
Mailing address:
  • Phone: 850-469-7567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS36784
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: