CLIFFORD LEE THACKER (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1396731857
Addiction Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CLIFFORD LEE THACKER (MD)
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
FORT MYERS, FL 339022147
Phone: (239) 343-9190
Fax: (239) 343-9193
Type: Mailing
9818 Old Hyde Park Pl
Bradenton, FL 342024091
Phone: (941) 556-9337
Type: Location
12550 New Brittany Blvd Ste 201
Fort Myers, FL 33907
Phone: (239) 343-9190
Fax: (239) 343-9193
Type: Location
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL 33907
Phone: (239) 343-9190
Fax: (239) 343-9193
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33902)
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