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1902152358
ALEXANDER L THACKER
BRADENTON, FL
NPI
1902152358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME119802)
Enumeration Date
2012-08-02
Last Update Date
2024-10-18
Business Address
Dr. ALEXANDER L THACKER M.D
11715 RANGELAND PKWY
BRADENTON, FL 34211-9529
Phone number: 941-538-0001
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Mailing Address
Dr. ALEXANDER L THACKER M.D
11715 RANGELAND PKWY
BRADENTON, FL 34211-9529
Phone number: 941-538-0001
Copy
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