Favilli Family Practice Center

LBN: Luis C Favilli Md Llc
Favilli Family Practice Center is an health care organization with primary practice located at 3650 Innovation Dr , Lakeland FL 33812-4105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Luis C Favilli Md Llc can be contacted via phone (863) 646-6295, or through Favilli, Luis C via phone (863) 285-7171.

Contact Information

Primary practice address
3650 Innovation Dr Lakeland FL 33812-4105
Phone: (863) 646-6295
Fax: (863) 701-2151
Website:
Map and Directions
Authorized official contact:
Name: Favilli, Luis C Doctor of Medicine (MD)
Phone: (863) 285-7171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0056610 Florida

Profile Details

NPI number 1336321835
LBN Legal business name Luis C Favilli Md Llc
DBA Doing business as Favilli Family Practice Center
Authorized official Favilli, Luis C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Apr 27th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336321835 NPPES
Florida MEDICAID E49325

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