OrganizationActive
Luis C Favilli MD LLC
NPI 1336321835 · Family Medicine Physician · Lakeland, FL
Provider details
- NPI number
- 1336321835
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Favilli, Family Practice(863) 285-7171
- License
- ME0056610 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3650 Innovation Dr
Lakeland, FL 33812-4105
Phone: (863) 646-6295
Fax: (863) 701-2151
Approximate (ZIP-level) locationGet directions
Mailing address
6675 Westwood Blvd
Orlando, FL 32821-8061
Other names (DBA / former)
- Doing business as
- Favilli Family Practice Center
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.