Individual
JEFF THACKREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 N ANDREWS AVE, STE 120, FORT LAUDERDALE, FL 33309-2114
(954) 688-4072
(954) 653-7209
Mailing address
6400 N ANDREWS AVE, STE 120, FORT LAUDERDALE, FL 33309-2114
(954) 688-4072
(954) 653-7209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME93287
FL
Other
Enumeration date
06/18/2010
Last updated
10/15/2014
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