Individual
DAVID GONNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13670 WALSINGHAM RD, LARGO, FL 33774-3532
(727) 593-9848
(727) 596-4532
Mailing address
13670 WALSINGHAM RD, LARGO, FL 33774-3532
(727) 593-9848
(727) 596-4532
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9114776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112389500
—
FL
Enumeration date
07/07/2016
Last updated
04/14/2023
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