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Organization
GHL MEDICAL PA
Active
Organization
GHL MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY GUILLERMO LIRIANO-ESPINAL MD (OWNER)
(787) 478-5618
Entity
Organization
Contact information
Practice address
6001 VINELAND RD STE 108, ORLANDO, FL 32819-7829
(407) 723-8585
(407) 723-0022
Mailing address
6001 VINELAND RD STE 108, ORLANDO, FL 32819-7829
(407) 723-8585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110239400
—
FL
01
—
H05SO
FLORIDA BLUE
FL
Enumeration date
03/24/2021
Last updated
01/10/2022
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