Provider Demographics
NPI:1174593289
Name:ZOLKOS, THOMAS MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:ZOLKOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 US HIGHWAY 301 N
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-8493
Mailing Address - Country:US
Mailing Address - Phone:941-721-1900
Mailing Address - Fax:941-721-3600
Practice Address - Street 1:10050 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-8493
Practice Address - Country:US
Practice Address - Phone:941-721-1900
Practice Address - Fax:941-721-3600
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL146CGOtherBCBS
MI4663315Medicaid
MI4663315Medicaid
MIN95080004Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
MII179933Medicare UPIN
MI0N95080Medicare ID - Type UnspecifiedGROUP NUMBER