Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD RANDALL THACKER, D.O.
ActiveInternal Medicine · TALLAHASSEE, FL
Registration Details
- NPI Number
- 1114920261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (20.915865487512 yrs)
- Last Updated
- Aug 20, 2016
- License
-
MEOS6976 (FL)
Practice Information
- Address
-
2770 CAPITAL MEDICAL BLVDSTE 200TALLAHASSEE, FL, 323088417Browse FL providers · Browse ZIP 32308
- Phone
- 8508788235
- Fax
- 8502192373
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in TALLAHASSEE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. RICK ALLEN DAMRON | M.D. | 1154324176 |
| DR. ANDREA LEE RANDELL | M.D. | 1508869421 |
| DR. LEONARD JAMES WALDENBERGER | M.D. | 1477556728 |
| DR. GURUSAMI M. LAKSHMIN | M.D. | 1538162805 |
| MICHAEL FORSTHOEFEL | M.D. | 1780689356 |
| JESSE JUDELLE | M.D. | 1336145663 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.