Provider Demographics
NPI:1720526239
Name:HUNALDO J. VILLALOBOS, M.D., P.A.
Entity Type:Organization
Organization Name:HUNALDO J. VILLALOBOS, M.D., P.A.
Other - Org Name:CENTRAL FLORIDA NEUROSURGERY INSTITUTE - CLERMONT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUNALDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-288-8638
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 1:2440 HOOKS ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3514
Practice Address - Country:US
Practice Address - Phone:407-288-8638
Practice Address - Fax:407-288-8639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty