Clifford Lee Thacker, MD

NPI #1396731857 in Fort Myers, Florida

Provider Information

NPI Number: 1396731857
Entity Type: Individual
Name: Clifford Lee Thacker, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine - Addiction Medicine
Credential: MD
Enumeration Date: Sep 21, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 12550 NEW BRITTANY BLVD STE 201
City: Fort Myers
State: Florida
ZIP Code: 33907
Phone: (239) 343-9190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X	Primary

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Organizations

Provider Name	Specialty	City
Irecovery, LLC Part of Irecovery, LLC	Family Medicine - Addiction Medicine	Fort Myers	AI Deep Dive

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