Healthcare Provider Details

I. General information

NPI: 1154265098
Provider Name (Legal Business Name): JANET B GONZALEZ-SALAS APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N UNIVERSITY DR STE 107
CORAL SPRINGS FL
33071-6085
US

IV. Provider business mailing address

9743 SW 59TH ST
COOPER CITY FL
33328-5737
US

V. Phone/Fax

Practice location:
  • Phone: 954-738-5916
  • Fax:
Mailing address:
  • Phone: 954-738-5916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11046953
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: