SearchFlorida363A00000X

Kelly Gardiner, PA-C

NPI 1184237075 · on the registry since 2020 · sole proprietor

Practice

Address
580 N Wickham Rd Ste C
Melbourne, FL 32935
Phone
(321) 255-7118
Fax
(321) 255-8391
Clinicians at this address
3

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
261QP2300X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida