Search › Florida › 207QA0401X
Clifford Thacker, MD
NPI 1396731857 · on the registry since 2005
Practice
- Address
- 12550 New Brittany Blvd Ste 201
Fort Myers, FL 33907 - Phone
- (239) 343-9190
- Fax
- (239) 343-9193
- Organisation at this address
- Lee Memorial Health System
Lee Memorial Health System
Jbh Behavioral Health Systems LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 9818 Old Hyde Park Pl, Bradenton, FL
- 12550 New Brittany Blvd Ste 201, Fort Myers, FL
Registry record
- Primary taxonomy
- 207QA0401X
207QA0401X
- Also registered as
- 207Q00000X
207V00000X
Psychiatry - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida