Provider Demographics
NPI:1609960970
Name:VILLALONA, GUILLERMO EMILIO (MD)
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:EMILIO
Last Name:VILLALONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-0687
Mailing Address - Country:US
Mailing Address - Phone:941-371-3349
Mailing Address - Fax:
Practice Address - Street 1:5682 BEE RIDGE RD
Practice Address - Street 2:SUITE100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1500
Practice Address - Country:US
Practice Address - Phone:941-371-3349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 83394207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine