Individual
DR. EDWIN MANUEL VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2692 W LAKE MARY BLVD, LAKE MARY, FL 32746-3535
(321) 710-8027
(407) 333-9974
Mailing address
5365 W ATLANTIC AVE, SUITE 504, DELRAY BEACH, FL 33484-8172
(561) 241-9300
(561) 241-9339
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000059994
TN
208100000X
Physical Medicine & Rehabilitation Physician
ME44332
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME44332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47633Z
MEDICARE 34259
FL
Enumeration date
10/16/2006
Last updated
11/08/2024
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