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

Kim Mara Dierickx, PA

Individual provider Medical Physician Assistant · NPI 1518424951

Kim Mara Dierickx, PA is a Medical Physician Assistant in North Miami Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 NW 170th St Ste 301
North Miami Beach, FL 33169-5511
Phone: (305) 651-3038
Fax: (305) 655-1153
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9111531 (FL)

Record details

NPI number1518424951
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 21, 2019
Last updated in NPPESFebruary 21, 2019

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