Healthcare Provider Details
I. General information
NPI: 1841730520
Provider Name (Legal Business Name): SURVIVORS PATHWAY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2017
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 SW 2ND AVE STE 901
MIAMI FL
33130-1584
US
IV. Provider business mailing address
33 SW 2ND AVE STE 901
MIAMI FL
33130-1584
US
V. Phone/Fax
- Phone: 786-275-4364
- Fax: 786-484-0401
- Phone: 786-275-4364
- Fax: 786-484-0401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCESCO
DUBERLI
Title or Position: OWNER
Credential:
Phone: 305-299-1957