MR. MARK GORDON
Nurse Practitioner - Family
Active
Individual
NPI: 1497183404
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Community Health | 363LC1500X | No | 11017993 (FL) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 11017993 (FL) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | No | 11017993 (FL) |
Frequently Asked Questions
NPI 1497183404 is the National Provider Identifier for MR. MARK GORDON, a Nurse Practitioner - Family provider located in Lauderhill, FL. This NPI was enumerated on October 30, 2013.
MR. MARK GORDON practices at 4300 N UNIVERSITY DR STE A106, Lauderhill, FL 33351.
Quick Facts
- NPI
- 1497183404
- Type
- Individual
- Enumerated
- Oct 30, 2013
- Last Updated
- Dec 30, 2025
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