Individual ProviderLeyania FandinoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6200 SW 73rd St, South Miami, FL 33143-4679(786) 662-8602PECOS EnrollmentBased on the most recent information from CMS, provider Leyania Fandino 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 ID1811462245Provider TypeIndividualFull NameFandino, LeyaniaCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date10/12/2018Last Updated4/24/2019Contact InformationPractice LocationPractice Address6200 SW 73rd St, South Miami, FL 33143-4679Phone(786) 662-8602Fax(786) 662-8646Mailing LocationMailing Address6200 SW 73rd St, South Miami, FL 33143-4679Phone(786) 662-8602Fax(786) 662-8602Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9365216Florida