Provider Demographics
NPI:1972962116
Name:SVERCEK, KEVIN (CRNA)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:SVERCEK
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8375 NW 53RD TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4851
Mailing Address - Country:US
Mailing Address - Phone:305-689-8375
Mailing Address - Fax:305-243-0424
Practice Address - Street 1:8375 NW 53RD TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4851
Practice Address - Country:US
Practice Address - Phone:305-689-8375
Practice Address - Fax:305-243-0424
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9236833367500000X
PARN539160367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered