Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberli Fanucci

Individual provider Specialist · NPI 1164319083

Kimberli Fanucci is a Specialist in Ocala, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

4701 SW College Rd Ste 107
Ocala, FL 34474-4739
Phone: (352) 291-0728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CL1176537 (FL)

Record details

NPI number1164319083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address4240 Sw 58th Ave, Ocala, FL 34474-9538

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