Provider Demographics
NPI:1457338949
Name:VILLALOBOS, HUNALDO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNALDO
Middle Name:JOSE
Last Name:VILLALOBOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:801 N ORANGE AVE
Mailing Address - Street 2:SUITE 720
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1026
Mailing Address - Country:US
Mailing Address - Phone:407-288-8638
Mailing Address - Fax:407-288-8639
Practice Address - Street 1:801 N. ORANGE AVENUE
Practice Address - Street 2:SUITE 720
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-5202
Practice Address - Country:US
Practice Address - Phone:407-288-8638
Practice Address - Fax:407-288-8639
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2015-01-12
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Provider Licenses
StateLicense IDTaxonomies
FLME94953207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU6950YMedicare UPIN