Luis Clyde Favilli MD

NPI 1013912625 - Family Medicine - 207Q00000X

NPI Details
NPI 1013912625
Gender Male
Enumeration Date 06/20/2005
Last Updated 10/17/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
25 NORTH LANIER AVE
FORT MEADE FL, 33841-2918, US
Phone (863) 285-7171
Fax (863) 285-6701
Business Location
25 NORTH LANIER AVE
FORT MEADE FL, 33841-2918, US
Phone (863) 285-7171
Fax (863) 285-6701
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME56610
Remove 1013912625 NPI Number
 

According to our database, Dr. Luis Clyde Favilli MD NPI is 1013912625, taxonomy code is 207Q00000X and license number is ME56610, license state is located at Florida. Luis Clyde Favilli MD physically located at 25 North Lanier Ave, Fort Meade FL, 33841-2918. NPI Number Luis Clyde Favilli MD has the Individual type.

Sponsored links

1013912625 NPI number is provided on an as is basis without warranty of any kind. 1013912625 is maintained by the National Plan & Provider Enumeration System. The contents of Luis Clyde Favilli MD are for informational purposes only.