1396731857 Clifford Lee Thacker, MD

Addiction Medicine (Family Medicine) Physician

Active

Basic Information

Full Name
Clifford Lee Thacker, MD
Gender
Male
Enumeration Date
September 21, 2005
Last Update
July 21, 2022

Practice Location

Address
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Phone
(239) 343-9190
Fax
(239) 343-9193

Mailing Address

Address
PO BOX 2147
FORT MYERS, FL 339022147
Phone
(239) 343-9190
Fax
(239) 343-9193

Specialties & Taxonomies

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

Other Identifiers

Identifier Type State Issuer
101588900 05 FL N/A

Additional Practice Locations

9818 Old Hyde Park Pl
Bradenton, FL 342024091

Phone: (941) 556-9337

12550 New Brittany Blvd Ste 201
Fort Myers, FL 33907

Phone: (239) 343-9190

Fax: (239) 343-9193

Frequently Asked Questions

What is Clifford Lee Thacker, MD's NPI number?
Clifford Lee Thacker, MD's NPI number is 1396731857.
Which doctor has NPI number 1396731857?
The doctor with NPI number 1396731857 is Clifford Lee Thacker, MD.
What is Clifford Lee Thacker, MD's practice address?
Clifford Lee Thacker, MD's practice address is 12550 NEW BRITTANY BLVD STE 201, FORT MYERS, FL, 33907.
Which doctor practices at 12550 NEW BRITTANY BLVD STE 201, FORT MYERS, FL, 33907?
Clifford Lee Thacker, MD practices at 12550 NEW BRITTANY BLVD STE 201, FORT MYERS, FL, 33907.
What is Clifford Lee Thacker, MD's mailing address?
Clifford Lee Thacker, MD's mailing address is PO BOX 2147, FORT MYERS, FL, 339022147.
What is Clifford Lee Thacker, MD's phone number?
Clifford Lee Thacker, MD's phone number is (239) 343-9190.
Who is (239) 343-9190?
(239) 343-9190 is the phone number for Clifford Lee Thacker, MD.
What is Clifford Lee Thacker, MD's specialty?
Clifford Lee Thacker, MD's specialty is Addiction Medicine (Family Medicine) Physician.
What type of doctor is Clifford Lee Thacker, MD?
Clifford Lee Thacker, MD is a Addiction Medicine (Family Medicine) Physician.
Is Clifford Lee Thacker, MD a Addiction Medicine?
Yes, Clifford Lee Thacker, MD is a Addiction Medicine.
Is Clifford Lee Thacker, MD still practicing?
Yes, Clifford Lee Thacker, MD is currently practicing.
Is Clifford Lee Thacker, MD accepting new patients?
Clifford Lee Thacker, MD may be accepting new patients. Please call their office at (239) 343-9190 to inquire about availability.
Is NPI 1396731857 still active?
Yes, NPI 1396731857 is currently active.
Where does Clifford Lee Thacker, MD practice?
Clifford Lee Thacker, MD practices in FORT MYERS, FL.
Is Clifford Lee Thacker, MD a male or female doctor?
Clifford Lee Thacker, MD is a male doctor.