Individual ProviderJose DemoriziFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address11211 N Nebraska Ave Ste A5, Tampa, FL 33612-5767(813) 514-2333(305) 278-0200PECOS EnrollmentBased on the most recent information from CMS, provider Jose Demorizi 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 yesterday at 11:02 AM.Profile DetailsProvider ID1710080601Provider TypeIndividualFull NameDemorizi, JoseTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date9/6/2006Last Updated3/27/2018Contact InformationPractice LocationPractice Address11211 N Nebraska Ave Ste A5, Tampa, FL 33612-5767Phone(813) 514-2333Fax(813) 482-0015Mailing LocationMailing Address12171 SW 268th St, Homestead, FL 33032-8001Phone(305) 278-0200Fax(305) 851-4110Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseACN361FloridaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense10945Puerto Rico