Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLIFFORD LEE THACKER, MD
ActiveCLIFFORD LEE THACKER, MD is a Addiction Medicine (Family Practice) healthcare provider located in FORT MYERS, Florida. NPI 1396731857 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · FORT MYERS, FL
Registration Details
- NPI Number
- 1396731857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2005 (20.917289503692 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
ME70754 (FL)ME0070754 (FL)ME70754 (FL)ME70754 (FL)
Practice Information
- Address
-
12550 NEW BRITTANY BLVD STE 201FORT MYERS, FL, 33907Browse FL providers · Browse ZIP 33907
- Phone
- 2393439190
- Fax
- 2393439193
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Psychiatry
- Additional Specialty
- Addiction Medicine (Family Practice)
Other Addiction Medicine (Family Practice) Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. WASHINGTON DARIO BAQUERO | MD | 1962509521 |
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.