Individual ProviderLoan VuongInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1611 NW 12th Ave, Miami, FL 33136-1005(305) 585-6910(954) 442-6930PECOS EnrollmentBased on the most recent information from CMS, provider Loan Vuong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124114426Provider TypeIndividualFull NameVuong, LoanCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date10/5/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1611 NW 12th Ave, Miami, FL 33136-1005Phone(305) 585-6910FaxUnlisted FaxMailing LocationMailing Address16886 SW 51st St, Miramar, FL 33027-4918Phone(954) 442-6930FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME0077310Florida