Clifford Thacker, MD
Clifford Thacker, MD holds NPI 1396731857, with a primary taxonomy of addiction medicine (family medicine) physician and a practice location in Fort Myers, FL. The number was issued on September 21, 2005 and the NPPES record was last updated on July 21, 2022. The record lists 4 taxonomy codes. 2 additional practice locations are listed.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | ME70754 (FL) |
| Family Medicine Physician | 207Q00000X | ME70754 (FL) |
| Obstetrics & Gynecology Physician | 207V00000X | ME0070754 (FL) |
| Psychiatry Physician | 2084P0800X | ME70754 (FL) |
Practice locations
Local context
Active NPPES records list 3 providers with addiction medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 100 in Florida and 1,636 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Clifford Lee Thacker
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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