1. Home
  2. Directory
  3. Florida
  4. Debary
  5. Family Medicine
  6. NPI Profile

POTENCIANO GONZALES MD PA
NPI 1043541162
Family Medicine in Debary, FL

Active since January 29, 2010
62 SPRING VISTA DR STE 100, DEBARY, FL 32713(386) 668-8559 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potenciano Gonzales Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTENCIANO GONZALES MD PA (NPI 1043541162) is a healthcare organization registered as a family medicine in Debary, Florida and active in the NPI registry since January 2010. The organization lists Potenciano Divino Gonzales, Physician, as its authorized official.

NPPES Registry Identity

NPI1043541162
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOTENCIANO GONZALES MD PA
Location Address62 SPRING VISTA DR STE 100Debary, FL 32713-1812
Mailing Address62 Spring Vista Dr Ste 101Debary, FL 32713-1812 · (386) 668-8559
Phone(386) 668-8559
Organization SubpartNo
Authorized OfficialPotenciano Divino GonzalesPhysician · (386) 668-8559
Enumeration DateJanuary 29, 2010
Last NPPES UpdateSeptember 30, 2010
✔ NPI 1043541162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
62 SPRING VISTA DR STE 100, Debary, FL 32713
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POTENCIANO D GONZALES MD
Family Medicine
62 SPRING VISTA DR STE 100
DEBARY, FL 32713
Volusia County (386) 668-8559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potenciano Gonzales MD PA's NPI number?

The NPI number for Potenciano Gonzales MD PA is 1043541162. It was assigned to this organization in the NPPES registry on January 29, 2010.

Where is Potenciano Gonzales MD PA located?

Potenciano Gonzales MD PA is located at 62 Spring Vista Dr Ste 100, Debary, FL 32713. The listed phone number is (386) 668-8559.

What is Potenciano Gonzales MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Potenciano Gonzales MD PA was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.