| Doctor Name: | KIMBERLY ELIZABETH PACETTI |
| NPI Number: | 1396055836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9267293 |
| Business Practice Address: | 4475 Us 1 South Suite 100 St. Augustine, FL - 32086 |
| Business Phone Number: | 9044611901 |
| Business Fax Number: | 9044611902 |
| Mailing Address: | 4475 Us 1 South, Suite 100 ST. AUGUSTINE |
| State: | FL |
| Postal Code: | 32086 |
| Phone Number: | 9044611901 |
| Fax Number: | 9044611902 |
| NPI Enumeration Date: | 10/18/2010 |
| NPI Last Update Date: | 10/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | ARNP9267293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |