| NPI | 1336321835 |
|---|---|
| Doing Business As | FAVILLI FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | LUIS C FAVILLI Family Practice 863-285-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0056610) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2017-04-27 |