Individual provider Active NPI

Humberto Antonio Liriano-Fanduiz Jr., M.D.

  • Pediatrics Physician
  • Winter Garden, FL
National Provider Identifier
1447499793
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME112624 Issued in FL
Practice address
5730 Hamlin Groves TRL Ste 164
Winter Garden, FL 34787-5792
Phone
(407) 347-7052
Fax
(321) 282-6944
NPI assigned
Feb 10, 2009
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME112624 FL Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ME112624 FL

Addresses

Primary practice location

5730 Hamlin Groves TRL Ste 164
Winter Garden, FL 34787-5792

Mailing address

1206 Bowman St
Clermont, FL 34711-3144
Phone (407) 347-7052

Other practice location 1

1245 W Fairbanks Ave
Winter Park, FL 32789-7111
Phone (407) 347-7052

Other practice location 2

5730 Hamlin Groves Trl
Winter Garden, FL 34787-5792
Phone (407) 426-4026

Other practice location 3

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6413

Other names 1

  • Dr. Humberto Antonio Liriano Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120705000433 FL Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 6002071602 Reassigns benefits to 7 organizations
I20230802000284 LA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6002071602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Pediatrics CurrentSince Apr 1, 2023 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC CurrentSince Jul 5, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Jan 4, 2025 Accepting new patients
Horizon West Pediatrics Center, PLLC Pediatrics CurrentSince Apr 17, 2022 Accepting new patients
Axys Health Group Pediatrics Current Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Mar 2, 2015 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jan 18, 2026 Accepting new patients
Children's Hospital CurrentSince Apr 1, 2023 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 15, 2025 Accepting new patients
Southwest Florida Emergency Management LLC CurrentSince May 1, 2023 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Jun 24, 2023 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jan 18, 2026 Accepting new patients
Winter Park Pediatrics Center, PLLC Pediatrics PastSince Apr 20, 2025 Accepting new patients
Horizon West Pediatrics Center, PLLC Pediatrics PastSince Mar 12, 2023 Accepting new patients

Locations (25 of 27)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

5730 Hamlin Groves Trl
Winter Garden, FL 34787
Phone (407) 347-7052

5730 Hamlin Groves Trl
Ste 164
Winter Garden, FL 34787
Phone (407) 347-7052

Interoperability endpoints

  • Direct secure messaging: humberto.liriano-fanduiz.1@8042.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1447499793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 BOWMAN ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "407-347-7052",
            "fax_number": "321-295-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 HAMLIN GROVES TRL STE 164",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875792",
            "telephone_number": "407-347-7052",
            "fax_number": "321-282-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 W Fairbanks Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327897111",
            "country_code": "US",
            "telephone_number": "407-347-7052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5730 Hamlin Groves Trl",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875792",
            "country_code": "US",
            "telephone_number": "407-426-4026",
            "fax_number": "407-395-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIRIANO-FANDUIZ",
        "first_name": "HUMBERTO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME112624",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME112624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUMBERTO",
            "last_name": "LIRIANO",
            "middle_name": "ANTONIO",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.