Individual
DR. ALEXANDER L THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11715 RANGELAND PKWY, BRADENTON, FL 34211-9529
(941) 538-0001
(941) 538-0002
Mailing address
11715 RANGELAND PKWY, BRADENTON, FL 34211-9529
(941) 538-0001
(941) 538-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME119802
FL
Other
Enumeration date
08/02/2012
Last updated
10/18/2024
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