LUIS CLYDE FAVILLI

LAKELAND, FL
NPI1013912625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME56610)
Enumeration Date2005-06-20
Last Update Date2023-05-30
Business Address
Dr. LUIS CLYDE FAVILLI MD
3650 INNOVATION DR
LAKELAND, FL 33812-4105
Phone number: 860-709-1968
Mailing Address
Dr. LUIS CLYDE FAVILLI MD
6675 WESTWOOD BLVD STE 475
ORLANDO, FL 32821-6027
Phone number: 407-845-0330
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