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Clifford Lee Thacker, MD
Addiction Medicine (Family Medicine) Physician in Fort Myers, Florida
NPI 1396731857

Clifford Lee Thacker is an Addiction Medicine (Family Medicine) Physician based in Fort Myers, FL and is specialized in Addiction Medicine. Clifford Lee Thacker practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Clifford Lee Thacker is 1396731857 and holds a License No. ME70754 (Florida).

The current practice location address for Clifford Lee Thacker is 12550 New Brittany Blvd Ste 201, Fort Myers, FL and can be reached out via phone at 239-343-9190 and via fax at 239-343-9193. You can also correspond with Clifford Lee Thacker through the mailing address at PO BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-9190).

Location: 12550 New Brittany Blvd Ste 201, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396731857
Provider Name
Clifford Lee Thacker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12550 New Brittany Blvd Ste 201, Fort Myers, FL, 33902-2147
Phone Number
239-343-9190
Fax Number
239-343-9193
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101588900 05 FL
institution
Provider Business Practice Location Address Details
Address
12550 New Brittany Blvd Ste 201
City
Fort Myers
State
Florida
Zip
33907
Phone Number
239-343-9190
Fax Number
239-343-9193
person
Provider Business Mailing Address Details
Address
Po Box 2147
City
Fort Myers
State
Florida
Zip
33902-2147
Phone Number
239-343-9190
Fax Number
239-343-9193
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME70754 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
ME70754 (Florida)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
ME0070754 (Florida)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
ME70754 (Florida)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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