Marisa Couluris

DO | Pediatrics | Female

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Complete Profile:

Marisa Couluris basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Marisa Couluris
Credential :	DO
Gender :	Female

Business Address:

Marisa Couluris address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	12901 Bruce B Downs Blvd Tampa, FL, 33612 United States
Phone Number :	813-259-8700

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1043229743
NPI Entity Type :	Individual
First Enrolment Date :	05 Aug, 2006
Last Updated On :	27 Oct, 2020

Medicare Participation:

Marisa Couluris participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2961476585
Medicare Enrollment ID :	I20040820000363
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2001
Accepts Medicare?	Yes. Marisa Couluris accepts medicare insurance.

Group Practice Association:

Marisa Couluris is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Marisa Couluris is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Service Association Inc	6800790221	661	800 6th S St Saint Petersburg, FL - 337014817 Ph: 7277674150	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marisa Couluris are as mentioned. Primary taxonomy code for Marisa Couluris, DO is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	OS9261	FL

Legacy Identifiers:

Other legacy medical identifiers of Marisa Couluris such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
270226600	MEDICAID	FL
48177	Other	FL	BLUE CROSS BLUE SHIELD

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 917770 Orlando, FL, 32891-0001 United States
Phone Number :	813-974-2201
Fax Number :	813-974-2812

Business Location:

Patients can refer following map for directions to Marisa Couluris practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.