1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Family Medicine
  6. NPI Profile

FAVILLI FAMILY PRACTICE CENTER
NPI 1336321835
Family Medicine in Lakeland, FL

Active since November 27, 2007
3650 INNOVATION DR, LAKELAND, FL 33812(863) 646-6295(863) 701-2151 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Favilli Family Practice Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAVILLI FAMILY PRACTICE CENTER (NPI 1336321835) is a healthcare organization registered as a family medicine in Lakeland, Florida and active in the NPI registry since November 2007. The organization lists Luis C Favilli, Family Practice, as its authorized official.

NPPES Registry Identity

NPI1336321835
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUIS C FAVILLI MD LLC
Location Address3650 INNOVATION DRLakeland, FL 33812-4105
Mailing Address6675 Westwood Blvd, Ste 475Orlando, FL 32821-8061 · (407) 845-0330 · Fax (888) 972-1752
Phone(863) 646-6295
Fax(863) 701-2151
Organization SubpartNo
Authorized OfficialLuis C FavilliFamily Practice · (863) 285-7171
Enumeration DateNovember 27, 2007
Last NPPES UpdateApril 27, 2017
✔ NPI 1336321835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0056610
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.
3650 INNOVATION DR, Lakeland, FL 33812
Open in Google Maps ↗

Other Names 1

Doing Business AsFavilli Family Practice Center

Other Identifiers 2

MedicaidE49325FL
Medicare PINK3751FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUIS CLYDE FAVILLI MD
Family Medicine
3650 INNOVATION DR
LAKELAND, FL 33812
Polk County (860) 709-1968
MEDICAL HOME ALLIANCE LLC
Internal Medicine
3650 INNOVATION DR
LAKELAND, FL 33812
Polk County (863) 646-6295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis C Favilli MD LLC's NPI number?

The NPI number for Luis C Favilli MD LLC is 1336321835. It was assigned to this organization in the NPPES registry on November 27, 2007. The provider is doing business as Favilli Family Practice Center.

Where is Luis C Favilli MD LLC located?

Luis C Favilli MD LLC is located at 3650 Innovation Dr, Lakeland, FL 33812. The listed phone number is (863) 646-6295.

What is Luis C Favilli MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Luis C Favilli MD LLC was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.