Individual provider · Type 1 NPI
Mark Gordon
Family Nurse Practitioner · Lauderhill, FL
NPI number
1497183404
Active
Practice location
4300 N University Dr Ste A106
Lauderhill, FL 33351-6243
Fax (954) 639-7433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 11017993 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 11017993 (FL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11017993 (FL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1497183404
Mark Gordon's National Provider Identifier is 1497183404, issued on Oct 30, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lauderhill, FL. The record was last updated on Feb 26, 2026.