Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark William Gordon, MD

Individual provider Surgery Physician · NPI 1467441618

Dr. Mark William Gordon, MD is a General Surgery in Hialeah, Florida. Qualified in 1967, 59 years ago. Practices with Vitalmd Group Holding LLC, a 532-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
59
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7100 W 20th Ave #703
Hialeah, FL 33016-1897
Phone: (305) 822-4515
Fax: (954) 963-3453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME13633 (FL)

Record details

NPI number1467441618
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address2301 N University Dr, 203, Pembroke Pines, FL 33024-3617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Group practice Vitalmd Group Holding Llc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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