Mark Gordon

NPI # 

Practice Address:

4300 N University Dr Ste A106

Lauderhill, FL, 33351-6243

Practice Phone:

786-273-0728

Practice Fax:

954-639-7433

License Number:

11017993

License State:

FL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Community Health

Taxonomy Code:

363LC1500X

Updated by NPPES on 3/6/2025. You can view the original data set for NPI # 1497183404 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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