Healthcare Provider Details

I. General information

NPI: 1285525915
Provider Name (Legal Business Name): EMERGENCY NEUROSURGERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N ORANGE AVE STE 720
ORLANDO FL
32801-5202
US

IV. Provider business mailing address

801 N ORANGE AVE STE 720
ORLANDO FL
32801-5202
US

V. Phone/Fax

Practice location:
  • Phone: 407-288-8638
  • Fax: 407-845-8421
Mailing address:
  • Phone: 407-288-8638
  • Fax: 407-845-8421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HUNALDO J VILLALOBOS
Title or Position: OWNER
Credential: MD
Phone: 407-288-8638