Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063082063 Individual Practitioner Female Practitioner

Dr. Stephanie Gonzales , DO

General Practice • Debary, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Gonzales, DO is a certified General Practice practicing in Debary, FL. With approximately 6 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2020, Dr. Gonzales delivers high-quality medical care to the local community at 62 SPRING VISTA DR STE 101.

Dr. Gonzales is affiliated with Novus Pain And Physical Medicine - Florida Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

62 Spring Vista Dr Ste 101

Debary, FL 327131812

Telephone 9715004286
Associated Practice Facility / Clinic
🏢 Potenciano Gonzales Md Pa Facility NPI 1043541162

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Debary, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -7.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Debary, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzales (6 Years) 6 Yrs
Debary Specialty Average (13.0 Years) 13.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL OS21544

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Novus Pain And Physical Medicine - Florida Llc

1501 Se 24th Rd, Ocala, FL 344716005

Phone: 3017220484

Secondary Practice Locations

1910 N Central Ave

Kissimmee, FL 347412331

Phone: 4077390602

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 16, 2026

Registered at 62 SPRING VISTA DR STE 101, DEBARY, FL 327131812 (Tel: 9715004286)

📍
Updated Business Mailing Address April 16, 2026

Registered at 62 SPRING VISTA DR STE 101, DEBARY, FL 327131812 (Tel: 9715004286)

📍
Updated Practice Location December 14, 2025

Registered at 62 SPRING VISTA DR STE 100, DEBARY, FL 327131812 (Tel: 9715004286)

📍
Updated Business Mailing Address December 14, 2025

Registered at 62 SPRING VISTA DR STE 100, DEBARY, FL 327131812 (Tel: 9715004286)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2025

General Practice (License #OS21544 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2025

Internal Medicine (License #OS21544 in FL)

📍
Updated Practice Location May 05, 2025

Registered at 1507 S TUTTLE AVE, SARASOTA, FL 342392608 (Tel: 3017220484)

📍
Updated Business Mailing Address May 05, 2025

Registered at 157 BALTIMORE ST STE 100, CUMBERLAND, MD 215022472 (Tel: 3017220484)

NPI Profile Active June 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2021

Registered at 315 S OSTEOPATHY AVE, KIRKSVILLE, MO 635016401 (Tel: 6607851000)

📍
Updated Business Mailing Address June 30, 2021

Registered at 315 S OSTEOPATHY AVE, KIRKSVILLE, MO 635016401 (Tel: 6607851000)

👤
Provider Name / Credentials Updated June 30, 2021

Recorded as STEPHANIE GONZALES, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Family Medicine (License #TEMPORARY in MO)

🟢
Initial NPI Registration & Enumeration June 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063082063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2021
Last Update: April 16, 2026
Sole Proprietor: Yes

Mailing Address

62 Spring Vista Dr Ste 101

Debary, FL 327131812

Phone: 9715004286

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.