Potenciano D Gonzales, MD

NPI #1043482813 in Debary, Florida

Provider Information

NPI Number: 1043482813
Entity Type: Individual
Name: Potenciano D Gonzales, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 1, 2008
Last Updated: Sep 30, 2010

Practice Location

Address: 62 SPRING VISTA DR STE 100
City: Debary
State: Florida
ZIP Code: 32713-1812
Phone: (386) 668-8559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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