Luis C Favilli (NPI# 1013912625, PAC ID# 8820172406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013912625 |
| PAC ID by PECOS | 8820172406 |
| Professional Enrollment ID | I20080227000289 |
| Full Name | Luis C Favilli |
| Address |
3650 Innovation Dr Lakeland FL 33812-4105 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100121 | BARTOW REGIONAL MEDICAL CENTER |
| 100052 | WINTER HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3650 Innovation Dr, Lakeland, FL 33812-4105 | ||
| 3650 Innovation Dr, Lakeland, FL 33812-4105 | 8636466295 | MEDICAL HOME ALLIANCE, LLC |
| Street Address |
3650 INNOVATION DR |
| City | LAKELAND |
| State | FL |
| Zip | 33812-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrence S Delikat | General Practice | 3650 Innovation Dr, Lakeland, FL 33812-4105 | |
| Nancy Blas | General Practice | Medical Home Alliance, LLC | 3650 Innovation Dr, Lakeland, FL 33812-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenifer H Valadez | Nurse Practitioner | Bond Clinic Pa | 4730 Exploration Ave, Lakeland, FL 33812-3319 |
| Pedro Ruiz | Internal Medicine | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Lincoln Henry Pitcher IIi | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Carlos I Gabriel | Obstetrics/gynecology | Bond Clinic Pa | 4730 Exploration Ave, Lakeland, FL 33812-3319 |
| Mirtha Alvarez Acevedo | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Michael L Strickland | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Mary Landsberger | Nurse Practitioner | Wellmed Medical Management of Florida Inc | 4740 Exploration Ave, Lakeland, FL 33812-3319 |
| Gustavo A Dejesus Gomez | Vascular Surgery | Vein and Vascular Experts Pllc | 5907 Hillside Heights Dr, Lakeland, FL 33812-3333 |
| Cecilia M Mcdonald | Nurse Practitioner | Vein and Vascular Experts Pllc | 5907 Hillside Heights Dr, Lakeland, FL 33812-3333 |
| David G Yrastorza | Dermatology | Dermatology Associates of Central Florida Pa | 3670 Innovation Dr, Lakeland, FL 33812-4105 |
| Find all physicians in zip 33812 | |||
| City | LAKELAND |
| Zip Code | 33812 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKELAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luis C Favilli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.