MARIO FAVILLI MD PA
NPI 1720274764
Family Medicine in Coconut Creek, FL

Q: What is Mario Favilli MD PA's NPI number?

The NPI number for Mario Favilli MD PA is 1720274764. It was assigned to this organization in the NPPES registry on September 24, 2007.

Q: What is Mario Favilli MD PA's specialty?

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

Active since September 24, 2007CLIA 10D0857208 · Waiver

4855 W HILLSBORO BLVD, SUITE B8, COCONUT CREEK, FL 33073(954) 481-2278(954) 481-1987 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mario Favilli Md Pa NPPES

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

MARIO FAVILLI MD PA (NPI 1720274764) is a healthcare organization registered as a family medicine in Coconut Creek, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Mario Noel Favilli, Owner, as its authorized official.

NPPES Registry Identity

NPI1720274764

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARIO FAVILLI MD PA

Location Address4855 W HILLSBORO BLVD, SUITE B8Coconut Creek, FL 33073-4356

Mailing Address4855 W Hillsboro Blvd, Suite B8Coconut Creek, FL 33073-4356 · (954) 481-2278 · Fax (954) 481-1987

Phone(954) 481-2278

Fax(954) 481-1987

Organization SubpartNo

Authorized OfficialMario Noel FavilliOwner · (954) 481-2278

Enumeration DateSeptember 24, 2007

Last NPPES UpdateMarch 6, 2008

✔ NPI 1720274764 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 · ME0050696

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.

4855 W HILLSBORO BLVD, Coconut Creek, FL 33073

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Other Identifiers 1

Medicare PINAG782FL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0857208

Mario N Favilli MD PA · Coconut Creek, FL

Active · expires Sep 11, 2027

CLIA Number10D0857208

Laboratory TypePhysician Office

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorMario N. Favilli

Laboratory Phone(954) 481-2278

Laboratory LocationMario N Favilli MD PA4855 W Hillsboro Blvd Ste B 8, Coconut Creek, FL 33073

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

ZOYLA A. ALMEIDA MD

Obstetrics & Gynecology (Gynecologic Oncology)

4855 W HILLSBORO BLVD, SUITE B-13
COCONUT CREEK, FL 33073

Broward County (954) 420-9182

DR. RICHARD PITERA M.D.

Ophthalmology

4855 W HILLSBORO BLVD, SUITE B7
COCONUT CREEK, FL 33073

Broward County (954) 974-5820

MARIO NOEL FAVILLI M.D.

Family Medicine

4855 W HILLSBORO BLVD, B8
COCONUT CREEK, FL 33073

Broward County (954) 481-2278

FRANK LAVERNIA MD PA

Internal Medicine

4855 W HILLSBORO BLVD, SUITE B-6
COCONUT CREEK, FL 33073

Broward County (954) 418-8146

ZOYLA ALMEIDA MD PA

Obstetrics & Gynecology (Gynecologic Oncology)

4855 W HILLSBORO BLVD, SUITE B-13
COCONUT CREEK, FL 33073

Broward County (954) 420-9182

HEARTLAND HOME HEALTH CARE SERVICES LLC

Home Health

4855 W HILLSBORO BLVD, SUITE B-4
COCONUT CREEK, FL 33073

Broward County (954) 969-0688

MS. MICHELE LINDA LANESE MSW LCSW

Social Worker

4855 W HILLSBORO BLVD, SUITE B1
COCONUT CREEK, FL 33073

Broward County (954) 345-5525

CENTER FOR IDENTITY DEVELOPMENT SOUTH LTD INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

4855 W HILLSBORO BLVD, SUITE B1
COCONUT CREEK, FL 33073

Broward County (954) 345-5525

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 Mario Favilli MD PA's NPI number?

The NPI number for Mario Favilli MD PA is 1720274764. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Mario Favilli MD PA located?

Mario Favilli MD PA is located at 4855 W Hillsboro Blvd Suite B8, Coconut Creek, FL 33073. The listed phone number is (954) 481-2278.

What is Mario Favilli MD PA's specialty?

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

Does Mario Favilli MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0857208) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mario Favilli MD PA was last updated on March 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.