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1497754105

NPI Code Detail

MEDICARE: THOMAS J ZEKAN MD

MEDICARE: THOMAS J ZEKAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	18831	WV
2	2085R0202X	Diagnostic Radiology Physician	68636	GA
3	2085R0202X	Diagnostic Radiology Physician	ME114130	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	300132457	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TN07Y	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000026314	OTHER	WV	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497754105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS J ZEKAN MD

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:	239-599-2612

Provider Business Practice Location Address
First Line	:	13813 METRO PKWY
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4343
Country	:	US
Telephone Number	:	855-674-4624
Fax Number	:	941-883-8386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	06/12/2025

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Directions to “ THOMAS J ZEKAN MD” Practice Location

Language	Start Address	Practice Location

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