Individual ProviderTania Grau FernandezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6200 SW 73rd St, South Miami, FL 33143-4679(786) 662-4000(305) 298-8746PECOS EnrollmentBased on the most recent information from CMS, provider Tania Grau Fernandez 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 today at 10:37 AM.Profile DetailsProvider ID1669047999Provider TypeIndividualFull NameGrau Fernandez, TaniaTitleMrs.CredentialARNPGenderFemaleSole ProprietorYesEnumeration Date5/20/2021Last Updated4/19/2024Contact InformationPractice LocationPractice Address6200 SW 73rd St, South Miami, FL 33143-4679Phone(786) 662-4000FaxUnlisted FaxMailing LocationMailing Address4100 NW 9th St Ste 100, Miami, FL 33126-3678Phone(305) 298-8746FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11010812Florida