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MARIO NOEL FAVILLI M.D.
NPI 1730304221
Family Medicine in Coconut Creek, FL

Active since April 17, 2007CLIA 10D0857208 · Waiver
4855 W HILLSBORO BLVD, 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.

About Mario Noel Favilli M.d. NPPES

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

MARIO NOEL FAVILLI M.D. (NPI 1730304221) is an individual family medicine provider in Coconut Creek, Florida, licensed in Florida (ME0050696) and active in the NPI registry since April 2007. He holds a CLIA Waiver certificate valid through September 11, 2027.

NPPES Registry Identity

NPI1730304221
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO NOEL FAVILLICredential: M.D.
Location Address4855 W HILLSBORO BLVD, B8Coconut Creek, FL 33073-4356
Mailing Address4855 W Hillsboro Blvd, Suite B8Coconut Creek, FL 33073-4356 · (954) 481-2278
Phone(954) 481-2278
Fax(954) 481-1987
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 6, 2008
✔ NPI 1730304221 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
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN04595ZFL
Medicare UPIND20948FL

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 FAVILLI MD PA
Family Medicine
4855 W HILLSBORO BLVD, SUITE 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's NPI number?

The NPI number for Mario Favilli is 1730304221. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Mario Favilli located?

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

What is Mario Favilli's specialty?

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

Does Mario Favilli 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 was last updated on March 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.