Sovereign Health of Florida, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SOVEREIGN HEALTH OF FLORIDA, INC.

Practice address

3331 E Riverside Dr
Fort Myers, FL 33916-1457

Phone

(949) 522-9553

Fax

(949) 390-9899

NPI assigned

May 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron Girskis

Title

Business Operations Specialist

Phone

(949) 359-8273

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1679910715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5705",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926745705",
            "telephone_number": "949-625-0376",
            "fax_number": "949-390-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E RIVERSIDE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161457",
            "telephone_number": "949-522-9553",
            "fax_number": "949-390-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HEALTH OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "GIRSKIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "949-359-8273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Florida Prosthetic Clinic
• Southwest General Healthcare Center Corp
• Southwest Independent Practice Assoc
• Manuel John Souza, MS, ANP-BC
• Sovereign Developmental Center
• Krystal Sovern, PA
• Kristy Marie Sowerby, PHARMD.
• Gregory C Spain, DPM
• Judith Elaine Spann, CRNA
• Teresa Spano, ND, CNS

• Mental Illness Community Based Residential Treatment Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.