Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Potenciano Gonzales MD PA

Organization Family Medicine Physician · NPI 1043541162

Potenciano Gonzales MD PA provides Family Medicine Physician services in Debary, Florida. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Spring Vista Dr Ste 100
Debary, FL 32713-1812 Not confirmed with CMS for 16 years — call before visiting
Phone: (386) 668-8559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043541162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Potenciano Gonzales — Physician · (386) 668-8559
NPI enumeratedJanuary 29, 2010
Last updated in NPPESSeptember 30, 2010
Mailing address62 Spring Vista Dr Ste 101, Debary, FL 32713-1812

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