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

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
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Practice location Address checks out

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

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