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

Lisa Gonsalves, MD

Individual provider Family Medicine Physician · NPI 1114997616

Lisa Gonsalves, MD is a Family Medicine Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

335 Clyde Morris Blvd Ste 240
Ormond Beach, FL 32174-3181
Phone: (386) 231-3561
Fax: (386) 677-6501
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0060521 (FL)

Record details

NPI number1114997616
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJune 21, 2012
Mailing addressPo Box 730729, Ormond Beach, FL 32173-0729

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