SH
SOVEREIGN HEALTHCARE OF PORT ORANGE, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PORT ORANGE, FL
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1710974423
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameR. CRONQUIST
TitleMANAGER
Phone3867607773
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Source: NPI Registry · Last refreshed June 24, 2026