Potenciano D Gonzales MD

NPI #1336246073 in Debary, Florida

Provider Information

NPI Number: 1336246073
Entity Type: Organization
Organization Name: Potenciano D Gonzales MD
Primary Specialty: Family Medicine
Enumeration Date: Sep 17, 2006
Last Updated: Apr 1, 2008

Practice Location

Address: 70 FOX RIDGE CT
Address 2: SUITE B
City: Debary
State: Florida
ZIP Code: 32713-2752
Phone: (386) 668-8559

Authorized Official

Name: DR. POTENCIANO D GONZALES JR., MD
Title: PHYSICIAN
Phone: (386) 668-8559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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