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

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