SearchFloridaSurgical Physician Assistant

Kimberly Vonderlieth, PA

NPI 1396917522 · on the registry since 2008 · sole proprietor

Practice

Address
1251 Hickory St
Melbourne, FL 32901
Phone
(321) 434-3420
Fax
(321) 434-3423
Organisation at this address
Active Chiropractic, Llc
Melbourne Medicine & Surgery Assoc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 1350 Hickory St, Melbourne, FL

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Medical Physician Assistant
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-17

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