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Luis Clyde Favilli (MD)

Dr. Luis Clyde Favilli (MD) is a health care provider specializes in Family Medicine. He is associated with medical group practice LUIS C FAVILLI MD LLC and is affiliated with 2 hospitals as shown below.

profile-icon Basic Information

Practice Location 3650 Innovation Dr, Lakeland, FL 33812-4105, US
Practice Location Phone860-709-1968
Practice Location Fax863-701-2151
GenderMale
Specialty InFamily Medicine
Medical SchoolOther
Graduation Year1985
NPI ?1013912625
PECOS ID8820172406
Enrollment IDI20080227000289
Entity TypeIndividual
Enumeration Date ? Jun 20, 2005
Last Update Date ? Apr 6, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Luis Clyde Favilli

SpecialtySpecializationLicenseLicense State
Family Medicine ME56610Florida

Medicare-icon Medicare Participation of Luis Clyde Favilli

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Luis Clyde Favilli

Medical Group PracticeLuis C Favilli Md Llc
Affiliation 1 Bartow Regional Medical Center
Affiliation 2 Winter Haven Hospital

legacy-id-icon Legacy Provider IDs of Luis Clyde Favilli

Provider IdIssuer StateIssuer TypeIssuer
374563500FloridaMedicaid