Active NPI
GHL Medical PA
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1164009544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GHL MEDICAL PA
- Practice address
- 6001 Vineland Rd Ste 108
Orlando, FL 32819-7829 - Phone
- (407) 723-8585
- Fax
- (407) 723-0022
- NPI assigned
- Mar 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry Guillermo Liriano-Espinal, MD
- Title
- Owner
- Phone
- (787) 478-5618
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Neurology Physician | 2084N0400X | |||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X |
Addresses
Primary practice location
6001 Vineland Rd Ste 108
Orlando, FL 32819-7829
Mailing address
6001 Vineland Rd Ste 108
Orlando, FL 32819-7829
Phone (407) 723-8585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H05SO | Other | FL | FLORIDA BLUE |
| 110239400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6001 Vineland Rd
Ste 108
Orlando, FL 32819
Phone (407) 298-4045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641772800000",
"number": "1164009544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 VINELAND RD STE 108",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197829",
"telephone_number": "407-723-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 VINELAND RD STE 108",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197829",
"telephone_number": "407-723-8585",
"fax_number": "407-723-0022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHL MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-24",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A",
"authorized_official_last_name": "LIRIANO-ESPINAL",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "GUILLERMO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-478-5618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "H05SO",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110239400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.