Individual
ANTONINO FAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(914) 642-4260
Mailing address
7737 JEWEL LN APT 203, NAPLES, FL 34109-0716
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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