Individual
DR. HUMBERTO ANTONIO LIRIANO-FANDUIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 263-2234
(321) 282-6944
Mailing address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 263-2234
(321) 282-6944
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME112624
FL
2080P0203X
Pediatric Critical Care Medicine Physician
ME112624
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME112624
FL
Other
Enumeration date
02/10/2009
Last updated
05/06/2025
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