CLIFFORD THACKER, MD

Addiction Medicine (Family Medicine) Physician · FORT MYERS, FL

Individual Active NPI 1396731857

Taxonomy & licensure

Specialty	Code	Primary	License	State
Addiction Medicine (Family Medicine) Physician	207QA0401X	✓	ME70754	FL
Family Medicine Physician	207Q00000X		ME70754	FL
Obstetrics & Gynecology Physician	207V00000X		ME0070754	FL
Psychiatry Physician	2084P0800X		ME70754	FL

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.