Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Favilli MD PA

Organization Family Medicine Physician · NPI 1720274764

Mario Favilli MD PA is a Family Medicine Physician in Coconut Creek, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4855 W Hillsboro Blvd Ste B8
Coconut Creek, FL 33073-4356
Phone: (954) 481-2278
Fax: (954) 481-1987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0050696 (FL)

Record details

NPI number1720274764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Favilli — Owner · (954) 481-2278
NPI enumeratedSeptember 24, 2007
Last updated in NPPESMarch 6, 2008
Mailing address4855 W Hillsboro Blvd, Suite B8, Coconut Creek, FL 33073-4356

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