Provider Demographics
NPI:1417521998
Name:PAULO, ZACHARIE
Entity Type:Individual
Prefix:
First Name:ZACHARIE
Middle Name:
Last Name:PAULO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12346 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5758
Mailing Address - Country:US
Mailing Address - Phone:786-210-0519
Mailing Address - Fax:
Practice Address - Street 1:12346 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-5758
Practice Address - Country:US
Practice Address - Phone:786-210-0519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide