Provider Demographics
NPI:1821981093
Name:ZACCHEO, KIMBERLY (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:ZACCHEO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:POINTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5920 SE CROOKED OAK AVE
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-8312
Mailing Address - Country:US
Mailing Address - Phone:772-201-7487
Mailing Address - Fax:
Practice Address - Street 1:1796 HIGHWAY 441 NORTH
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972
Practice Address - Country:US
Practice Address - Phone:772-201-7487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2985452163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency