Organization
FLORIDA PEDIATRIC PULMONOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS FAVERIO M.D. (PRESIDENT)
(239) 466-1243
Entity
Organization
Contact information
Practice address
15740 NEW HAMPSHIRE CT, # B, FORT MYERS, FL 33908-4173
(239) 466-1243
Mailing address
PO BOX 7518, FORT MYERS, FL 33911-7518
(239) 931-7262
(239) 931-7397
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME73220
FL
Other
Enumeration date
04/03/2007
Last updated
02/23/2008
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