Dr LUIS C FAVILLI is a male medical professional, specializing in Family Medicine. He graduated in 1985.
3650 INNOVATION DR
LAKELAND
FL
338124105
Tel:
| Npi | 1013912625 |
| Pac Id | 8820172406 |
| Professional Enrollment Id | I20080227000289 |
| Last Name | FAVILLI |
| First Name | LUIS |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 3650 INNOVATION DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKELAND |
| State | FL |
| Zip Code | 338124105 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 100121 |
| Hospital Affiliation Lbn 1 | BARTOW REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 100052 |
| Hospital Affiliation Lbn 2 | WINTER HAVEN HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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