Individual provider · Type 1 NPI

Jose Luis Gonzalez-Roman, APRN, FNP-C, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Lithia, FL

NPI number 1063187128 Active

Practice location

14888 Summer Branch Dr
Lithia, FL 33547-5130

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11012338 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11012338 (FL)
Family Nurse Practitioner 363LF0000XGAA-NP-000179 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063187128

Jose Luis Gonzalez-Roman, APRN, FNP-C, PMHNP-BC's National Provider Identifier is 1063187128, issued on Aug 11, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lithia, FL. The record was last updated on Jan 21, 2025.