Potenciano D Gonzales, MD | |
62 Spring Vista Dr Ste 100, Debary, FL 32713-1812 | |
(386) 668-8559 | |
(386) 668-8560 |
Full Name | Potenciano D Gonzales |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 62 Spring Vista Dr Ste 100, Debary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043482813 | NPI | - | NPPES |
251651900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME70587 (Florida) | Primary |
Entity Name | Inpatient Consultants Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
Mailing Address | Practice Location Address |
---|---|
Potenciano D Gonzales, MD 62 Spring Vista Dr Ste 101, Debary, FL 32713-1812 Ph: (386) 668-8559 | Potenciano D Gonzales, MD 62 Spring Vista Dr Ste 100, Debary, FL 32713-1812 Ph: (386) 668-8559 |
Dr. Frank Mari, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2836 Enterprise Rd, #1, Debary, FL 32713 Phone: 386-753-1948 | |
Dr. Alvan William Barber, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 70 Fox Ridge Ct Ste B, Debary, FL 32713 Phone: 407-625-9486 | |
Dr. John B. Kayoma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 386-516-9770 Fax: 386-516-9770 | |
Dr. Alireza Ebneshahidi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Pond Ct Ste 301302, Debary, FL 32713 Phone: 386-259-4258 | |
Magued Ibrahim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2836 Enterprise Rd, Suite #4, Debary, FL 32713 Phone: 386-951-4538 Fax: 386-259-3689 | |
Dr. Judith Del Carmen Mathura, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 203, Debary, FL 32713 Phone: 386-259-4106 Fax: 866-554-1654 |