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

Mr. Mark Gordon

Individual provider Community Health Nurse Practitioner · NPI 1497183404

Mr. Mark Gordon is a Nurse Practitioner in Lauderhill, Florida. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2013
Specialties on file
3

Practice location Address checks out

4300 N University Dr Ste A106
Lauderhill, FL 33351-6243
Phone: (786) 273-0728
Fax: (954) 639-7433
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11017993 (FL)
Community Health Nurse Practitioner Taxonomy 363LC1500X · Licence 11017993 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11017993 (FL)

Record details

NPI number1497183404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2013
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address4300 N University Dr Ste A106, Lauderhill, FL 33351-6243

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount