Organization
EDWIN M VILLALOBOS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN M. VILLALOBOS M.D. (PRESIDENT)
(407) 331-0771
Entity
Organization
Contact information
Practice address
661 E ALTAMONTE DR, SUITE 231, ALTAMONTE SPRINGS, FL 32701-5105
(407) 331-0771
(407) 331-0577
Mailing address
661 E ALTAMONTE DR, SUITE 231, ALTAMONTE SPRINGS, FL 32701-5105
(407) 331-0771
(407) 331-0577
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME44332
FL
363AM0700X
Medical Physician Assistant
PA9101382
FL
Other
Enumeration date
10/09/2007
Last updated
04/09/2009
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