Healthcare Provider Details

I. General information

NPI: 1972962116
Provider Name (Legal Business Name): KEVIN SVERCEK C.R.N.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8375 NW 53RD TER
DORAL FL
33166-4851
US

IV. Provider business mailing address

8375 NW 53RD TER
DORAL FL
33166-4851
US

V. Phone/Fax

Practice location:
  • Phone: 305-689-8375
  • Fax: 305-243-0424
Mailing address:
  • Phone: 305-689-8375
  • Fax: 305-243-0424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9236833
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: