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Organization
MARIO FAVILLI MD PA
Active
Organization
MARIO FAVILLI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO NOEL FAVILLI MD (OWNER)
(954) 481-2278
Entity
Organization
Contact information
Practice address
4855 W HILLSBORO BLVD, SUITE B8, COCONUT CREEK, FL 33073-4356
(954) 481-2278
(954) 481-1987
Mailing address
4855 W HILLSBORO BLVD, SUITE B8, COCONUT CREEK, FL 33073-4356
(954) 481-2278
(954) 481-1987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0050696
FL
Other
Enumeration date
09/24/2007
Last updated
03/06/2008
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