SOVEREIGN HEALTH OF FLORIDA INC. NPI 1679910715

NPI Information

NPI: 1679910715
Provider Name: SOVEREIGN HEALTH OF FLORIDA, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3331 E RIVERSIDE DR
FORT MYERS, FL
ZIP 33916
Phone: (949) 522-9553
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SOVEREIGN HEALTH OF FLORIDA, INC. is a community based residential treatment facility mental illness in Fort Myers, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SOVEREIGN HEALTH OF FLORIDA, INC. NPI is 1679910715. The provider is registered as an organization entity type.

The provider's business location address is:

3331 E RIVERSIDE DR
FORT MYERS, FL
ZIP 33916-457
Phone: (949) 522-9553
Fax: (949) 390-9899

The provider's authorized official is Ron Girskis .
The authorized official title is Business Operations Specialist and has the following contact phone number (949) 359-8273.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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