Gordon, Mark

Gordon, Mark is an individual health care provider with primary practice located at 16938 S Dixie Hwy , Palmetto Bay FL 33157-4354. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gordon, Mark can be contacted via phone (305) 831-5811.

Contact Information

Primary practice address
16938 S Dixie Hwy Palmetto Bay FL 33157-4354
Phone: (305) 831-5811
Fax: (305) 378-0807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 233294 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11017993 Florida

Profile Details

NPI number 1497183404
LBN Legal business name Gordon, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2013
Last updated Dec 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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