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

Mark Vandenberg

Individual provider Specialist · NPI 1689890949

Mark Vandenberg is a Specialist in Ft Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1601 NE 11th Ave
Ft Lauderdale, FL 33305-3171
Phone: (920) 850-5758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PTA20097 (FL)

Record details

NPI number1689890949
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1601 Ne 11th Ave, Ft Lauderdale, FL 33305-3171

Other providers in Ft Lauderdale