Gonnella, David

Gonnella, David is an individual health care provider with primary practice located at 930 Marcum Rd Ste 10 , Lakeland FL 33809-4308. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gonnella, David can be contacted via phone (863) 284-6800.

Contact Information

Primary practice address
930 Marcum Rd Ste 10 Lakeland FL 33809-4308
Phone: (863) 284-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9114776 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9114776 Florida

Profile Details

NPI number 1760834386
LBN Legal business name Gonnella, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Aug 28th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760834386 NPPES
Florida MEDICAID 112389500

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