Individual provider · Type 1 NPI

Mark Vandenberg

Specialist · Fort Lauderdale, FL

NPI number 1689890949 Active

Practice location

1601 NE 11th Ave
Fort Lauderdale, FL 33305-3171

Call (920) 850-5758 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA20097 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1689890949

Mark Vandenberg's National Provider Identifier is 1689890949, issued on Apr 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.