Individual ProviderEric CorisFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address12901 Bruce B Downs Blvd, Tampa, FL 33612-4742(813) 974-2918(813) 974-2201PECOS EnrollmentBased on the most recent information from CMS, provider Eric Coris is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114955770Provider TypeIndividualFull NameCoris, EricCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/30/2006Last Updated3/22/2021Contact InformationPractice LocationPractice Address12901 Bruce B Downs Blvd, Tampa, FL 33612-4742Phone(813) 974-2918FaxUnlisted FaxMailing LocationMailing AddressPO Box 917770, Orlando, FL 32891-0001Phone(813) 974-2201Fax(813) 974-4325Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME74220FloridaProvider IdentifiersIDDescriptionIssuerID06293DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFloridaID262735300DescriptionMedicaidIssuerUnlistedFlorida