Individual
ERIC CORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-2918
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME74220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06293
BLUE CROSS BLUE SHIELD
FL
05
—
262735300
—
FL
Enumeration date
06/30/2006
Last updated
03/22/2021
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