Villalobos, Edwin Manuel

Villalobos, Edwin Manuel is an individual health care provider with primary practice located at 2692 W Lake Mary Blvd , Lake Mary FL 32746-3535. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Villalobos, Edwin Manuel can be contacted via phone (321) 710-8027.

Contact Information

Primary practice address
2692 W Lake Mary Blvd Lake Mary FL 32746-3535
Phone: (321) 710-8027
Fax: (407) 333-9974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME44332 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME44332 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME44332 Florida

Profile Details

NPI number 1861572653
LBN Legal business name Villalobos, Edwin Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jun 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861572653 NPPES
Florida Other 47633Z MEDICARE 34259

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