| Ghl Medical Pa | |
|
6001 Vineland Rd Ste 108 Orlando FL 32819-7829 | |
| (407) 723-8585 | |
| (407) 723-0022 |
| Full Name | Ghl Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6001 Vineland Rd Ste 108, Orlando, Florida |
| Authorized Official Name and Position | Larry Guillermo Liriano-espinal (OWNER) |
| Authorized Official Contact | 7874785618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghl Medical Pa 6001 Vineland Rd Ste 108 Orlando FL 32819-7829 Ph: (407) 723-8585 | Ghl Medical Pa 6001 Vineland Rd Ste 108 Orlando FL 32819-7829 Ph: (407) 723-8585 |
| NPI Number | 1164009544 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164009544 | NPI | - | NPPES |
| H05SO | Other | FL | FLORIDA BLUE |
| 110239400 | Medicaid | FL |
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