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General NPI Number Information
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NPI Number | 1114669975
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Entity Type | Organization
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Legal Business Name | HORIZON WEST PEDIATRICS CENTER, PLLC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5730 HAMLIN GROVES TRAIL
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City | WINTER GARDEN
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State | FL
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Zip | 34787
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Country | US
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Telephone | 407-848-9394
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Fax |
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Provider Business Mailing Address
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Address Line | 5730 HAMLIN GROVES TRL STE 164
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5792
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Country | US
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Telephone | 407-848-9394
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. HUMBERTO LIRIANO
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Credential | MD
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Telephone | 407-848-9394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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