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Edwin M Villalobos MD PA

Physical Medicine & Rehabilitation, Pain Medicine in Altamonte Springs, FL. Organization (NPI-2).

NPI number1124216601
StatusActive
Last updated in NPPESApr 9, 2009

Details

NPI
1124216601
Entity type
Organization (NPI-2)
Legal business name
Edwin M Villalobos MD PA
Organization subpart
No
Enumeration date
Oct 9, 2007
Last updated
Apr 9, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain MedicineME44332FLYes
363AM0700X Physician Assistant, MedicalPA9101382FL

Practice location

661 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-5105

Phone 407-331-0771 · Fax 407-331-0577

Mailing address

661 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-5105

Phone 407-331-0771 · Fax 407-331-0577

Authorized official

Edwin M. Villalobos
President
4073310771

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