Provider Demographics
NPI:1376338962
Name:WINTER PARK PEDIATRICS CENTER, PLLC
Entity type:Organization
Organization Name:WINTER PARK PEDIATRICS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-347-7052
Mailing Address - Street 1:5730 HAMLIN GROVES TRL
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5792
Mailing Address - Country:US
Mailing Address - Phone:407-347-7052
Mailing Address - Fax:407-395-3233
Practice Address - Street 1:1245 W FAIRBANKS AVE STE 500
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4878
Practice Address - Country:US
Practice Address - Phone:407-636-4051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HORIZON WEST PEDIATRICS CENTER, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty