CLIFFORD THACKER, MD

Family Medicine - Addiction Medicine

Active Individual
NPI: 1396731857

Practice Address

12550 NEW BRITTANY BLVD STE 201
Fort Myers, FL 33907

Phone: (239) 343-9190

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No ME70754 (FL)
Obstetrics & Gynecology 207V00000X No ME0070754 (FL)
Psychiatry & Neurology - Psychiatry 2084P0800X No ME70754 (FL)
Family Medicine - Addiction Medicine 207QA0401X Yes ME70754 (FL)

Frequently Asked Questions

NPI 1396731857 is the National Provider Identifier for CLIFFORD THACKER, MD, a Family Medicine - Addiction Medicine provider located in Fort Myers, FL. This NPI was enumerated on September 21, 2005.
CLIFFORD THACKER, MD practices at 12550 NEW BRITTANY BLVD STE 201, Fort Myers, FL 33907.

Quick Facts

NPI
1396731857
Type
Individual
Enumerated
Sep 21, 2005
Last Updated
Jul 21, 2022

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