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Contact Information

MARK GORDON
4300 N UNIVERSITY DR STE A106
LAUDERHILL, FL33351-6243
 Phone: 786-273-0728
 Fax: 954-639-7433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARK GORDON · (Male)

NPI Number 1497183404
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2013
Last updated 02/26/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 11017993
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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