Individual ProviderStephanie IoannouInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1611 NW 12th Ave, Miami, FL 33136-1005(305) 243-9741PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Ioannou 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 12:57 PM.Profile DetailsProvider ID1023512365Provider TypeIndividualFull NameIoannou, StephanieGenderFemaleSole ProprietorNoEnumeration Date3/21/2018Last Updated1/12/2023Contact InformationPractice LocationPractice Address1611 NW 12th Ave, Miami, FL 33136-1005Phone(305) 243-9741FaxUnlisted FaxMailing LocationMailing Address1611 NW 12th Ave, Miami, FL 33136-1005PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME149704Florida