Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Potenciano Gonzales MD PA

Organization Family Medicine Physician · NPI 1043541162

Potenciano Gonzales MD PA is a Family Medicine Physician 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
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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