Clifford Lee Thacker MD

  • NPI 1396731857
According to our database, the NPI number for Clifford Lee Thacker MD is 1396731857 and activated since 18 years ago. Clifford Lee Thacker MD is an individual provider who specializes in Family Medicine, and the primary practice location is 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907. You can also contact Clifford Lee Thacker MD via telephone number is (239) 343-9190. Provider NPI information was last updated on 10/27/2020.

Recently Active NPIs

Overview of Clifford Lee Thacker MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/21/2005
  • Last updated: 10/27/2020

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME70754
  • License State: FL

Provider Mailing Address

  • Address: Po Box 2147
    Fort Myers, FL 33902
  • Phone: 239-343-9190
  • Fax: 239-343-9193

Provider Practice Location

  • Address: 12550 New Brittany Blvd Ste 201
    Fort Myers, FL 33907
  • Phone: 239-343-9190
  • Fax: 239-343-9193

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME70754
  • License State: FL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 101588900
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clifford Lee Thacker MD?
  • A: The npi number for Clifford Lee Thacker MD is 1396731857.
  • Q: What are Clifford Lee Thacker MD's specialties?
  • A: Clifford Lee Thacker MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Clifford Lee Thacker MD?
  • A: The medical license number for Clifford Lee Thacker MD is ME70754 and issued in FL in USA.
  • Q: Where is Clifford Lee Thacker MD practice location?
  • A: Clifford Lee Thacker MD is practicing at 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907.
  • Q: How to contact Clifford Lee Thacker MD?
  • A: You can contact Clifford Lee Thacker MD via 239-343-9190.