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Dr. Luis Clyde Favilli, MD
Family Medicine Physician in Lakeland, Florida
NPI 1013912625

Luis Clyde Favilli is a Family Medicine Physician based in Orlando, FL. Luis Clyde Favilli practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Luis Clyde Favilli is 1013912625 and holds a License No. ME56610 (Florida).

The current practice location address for Luis Clyde Favilli is 3650 Innovation Dr, Lakeland, FL and can be reached out via phone at 860-709-1968 and via fax at 863-701-2151.

Location: 3650 Innovation Dr, Lakeland, FL, 32821-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013912625
Provider Name
Luis Clyde Favilli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3650 Innovation Dr, Lakeland, FL, 32821-6027
Phone Number
860-709-1968
Fax Number
863-701-2151
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
374563500 05 FL
institution
Provider Business Practice Location Address Details
Address
3650 Innovation Dr
City
Lakeland
State
Florida
Zip
33812-4105
Phone Number
860-709-1968
Fax Number
863-701-2151
person
Provider Business Mailing Address Details
Address
3650 Innovation Dr
City
Lakeland
State
Florida
Zip
33812-4105
Phone Number
860-709-1968
Fax Number
863-701-2151
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME56610 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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