Individual
THOMAS ZACHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1032 MAR WALT DR, SUITE 240, FORT WALTON BEACH, FL 32547-6661
(850) 863-0883
(850) 862-0188
Mailing address
4154 BEACH DR, NICEVILLE, FL 32578-2980
(850) 376-8739
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME38087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064335100
—
FL
01
—
4306752
AETNA
FL
01
—
46160
BCBS FL
FL
01
—
593-06486
BCBS AL
AL
01
—
593-06487
BCBS AL
AL
Enumeration date
03/14/2006
Last updated
02/04/2025
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