Healthcare Provider Details

I. General information

NPI: 1770426017
Provider Name (Legal Business Name): PIERRE SYLVAIN MONGERARD APRN PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 N ESSEX AVE
CITRUS HILLS FL
34442-5320
US

IV. Provider business mailing address

2567 SW CHESTNUT LN
PORT ST LUCIE FL
34953-2993
US

V. Phone/Fax

Practice location:
  • Phone: 352-558-8054
  • Fax: 352-218-8485
Mailing address:
  • Phone: 786-267-5118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11046600
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: