Provider Demographics
NPI:1326013939
Name:SECKLER, DANIEL ARTHUR (RPH)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ARTHUR
Last Name:SECKLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 ROLLING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2736
Mailing Address - Country:US
Mailing Address - Phone:727-510-9538
Mailing Address - Fax:727-789-9554
Practice Address - Street 1:2439 ROLLING OAKS DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-2736
Practice Address - Country:US
Practice Address - Phone:727-510-9538
Practice Address - Fax:727-789-9554
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS12117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist