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DR. STEPHANIE GONZALES DO
NPI 1063082063
General Practice in Debary, FL

Active since June 30, 2021PECOS EnrolledAccepts Medicare Assignment
62 SPRING VISTA DR STE 101, DEBARY, FL 32713(971) 500-4286 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Dec 14, 2025, Jun 5, 2025 and 2 more (5 updates tracked since 2021).

About Dr. Stephanie Gonzales Do NPPES

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

DR. STEPHANIE GONZALES DO (NPI 1063082063) is an individual general practice provider in Debary, Florida, licensed in Florida (OS21544) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kissimmee, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2020).

NPPES Registry Identity

NPI1063082063
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. STEPHANIE GONZALESCredential: DO
Location Address62 SPRING VISTA DR STE 101Debary, FL 32713-1812
Mailing Address62 Spring Vista Dr Ste 101Debary, FL 32713-1812 · (971) 500-4286 · Fax (407) 439-8355
Phone(971) 500-4286
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2020
Enumeration DateJune 30, 2021
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1063082063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · OS21544
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
62 SPRING VISTA DR STE 101, Debary, FL 32713
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Secondary Practice Location 1

Location 11910 N Central AveKissimmee, FL 34741-2331 · Phone (407) 739-0602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Gonzales Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810371358
PECOS Enrollment IDI20250305000790
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Stephanie Gonzales's NPI number?

The NPI number for Stephanie Gonzales is 1063082063. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Stephanie Gonzales located?

Stephanie Gonzales practices at 62 Spring Vista Dr Ste 101, Debary, FL 32713. The listed phone number is (971) 500-4286.

What is Stephanie Gonzales's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stephanie Gonzales enrolled in Medicare?

Yes. Stephanie Gonzales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Gonzales was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.