Marisa Couluris

DO | Pediatrics | Female

Marisa Couluris, DO is a Tampa, Florida based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Marisa Couluris is 12901 Bruce B Downs Blvd, Tampa, Florida - 33612. She can be contacted on phone at 813-259-8700. Marisa Couluris is a sole proprietor of her business.
NPI number (Unique professional ID) for Marisa Couluris is 1043229743 which was assigned by NPPES on 05 Aug, 2006 and it was last updated on 27 Oct, 2020. Marisa Couluris license number is OS9261 for Pediatrics (208000000X) in Florida.
Marisa Couluris is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
University Medical Service Association Inc6800790221661800 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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesOS9261FL
Legacy Identifiers:
Other legacy medical identifiers of Marisa Couluris such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
270226600MEDICAIDFL
48177OtherFLBLUE 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).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
mcouluris8229@direct.tgh.org

No affiliation



12901 BRUCE B DOWNS BLVD,
TAMPA, FL, 33612
United States
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.