# DR. MANDATH MANNY SEETARAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366876674
- **Gender:** Man
- **Credential:** PHARMD,,BCPS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PS33656 | FL | Yes |
| 1835P1200X | Pharmacotherapy Pharmacist | PU5535 | FL | — |

## Other

- **Enumeration date:** 08/23/2013
- **Last updated:** 08/23/2013
