Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUIS CLYDE FAVILLI, MD
Active Sole ProprietorFamily Medicine · LAKELAND, FL
Registration Details
- NPI Number
- 1013912625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2005 (20.859275277504 yrs)
- Last Updated
- May 30, 2023
- License
-
ME56610 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3650 INNOVATION DRLAKELAND, FL, 338124105Browse FL providers · Browse ZIP 33812
- Phone
- 8607091968
- Fax
- 8637012151
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| ALVARO JOSE JARQUIN | M.D. | 1275538894 |
| DR. YOUSSEF B GHALY | M.D. | 1770580334 |
| DR. ROXANN CASTELLI COOK | D.O. | 1427055318 |
| RICARDO E PEREZ-MONTERO | M.D. | 1740288240 |
| STEVEN A. TYREE | MD | 1477554822 |
| ERNESTO AGUILERA | MD | 1497730170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.