Individual ProviderDiem N HuynhPharmacistPharmacy Service ProvidersPractice Address1920 Aloma Ave, Winter Park, FL 32792-3207(407) 628-1899PECOS EnrollmentBased on the most recent information from CMS, provider Diem N Huynh 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 2 days ago.Profile DetailsProvider ID1497279152Provider TypeIndividualFull NameHuynh, Diem NGenderFemaleSole ProprietorYesEnumeration Date8/2/2017Last Updated8/2/2017Contact InformationPractice LocationPractice Address1920 Aloma Ave, Winter Park, FL 32792-3207Phone(407) 628-1899FaxUnlisted FaxMailing LocationMailing Address12508 Citrus Valley Dr, Tampa, FL 33625-6505PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePS56637FloridaProvider IdentifiersIDDescriptionIssuerIDPS56637DescriptionOtherIssuerLICENSE NUMBER