Potenciano D Gonzales in Debary - Family Medicine
Potenciano D Gonzales - NPI 1043482813
Potenciano D Gonzales is a Family Medicine in Debary, Florida. Potenciano D Gonzales practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Potenciano D Gonzales is 1043482813. The last update date is 2010-09-30.
Potenciano D Gonzales's current location address is 62 Spring Vista Dr Ste 101, Debary, Florida. You can contact this provider via phone number 3866688559 and fax number 3866688560. The mailing address for Potenciano D Gonzales is 62 Spring Vista Dr Ste 101, Debary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Potenciano D Gonzales |
|---|---|
| Address | 62 Spring Vista Dr Ste 101, Debary, Florida |
| Phone Number | 3866688559 |
| Fax Number | 3866688560 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043482813 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 62 Spring Vista Dr Ste 101 |
|---|---|
| City | Debary |
| State | Florida (FL) |
| Post Code | 327131812 |
| Phone Number | 3866688559 |
| Fax Number | 3866688560 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME70587 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 251651900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Potenciano D Gonzales by the Centers for Medicare & Medicaid Services?
The Potenciano D Gonzales has been assigned the NPI (National Provider Identifier) 1043482813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Potenciano D Gonzales is geographically located?
The Potenciano D Gonzales is physically situated at the following location: 62 Spring Vista Dr Ste 101, Debary, FL, 327131812.
What is Potenciano D Gonzales's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Potenciano D Gonzales is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Potenciano D Gonzales receive its 1043482813 assignment from the Centers for Medicare & Medicaid Services?
The Potenciano D Gonzales was assigned its 1043482813 by the Centers for Medicare & Medicaid Services on 2008-04-01.
As of what date were the details pertaining to Potenciano D Gonzales last refreshed?
The information related to the Potenciano D Gonzales, including its address, specialty, and other relevant details, was last updated on 2010-09-30.