Mark William Gordon, M.D.

Surgery Physician · Hialeah, FL

Individual Active NPI

NPI number 1467441618

Practice location

7100 W 20TH Ave
#703
Hialeah, FL 33016-1897
Phone
(305) 822-4515
Fax
(954) 963-3453

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NPI record

NPI
1467441618
Entity type
Individual (Type 1)
Enumeration date
October 20, 2005
Last updated
March 3, 2020
Certified
March 3, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X ME13633 FL

Mailing address

2301 N University Dr
#203
Pembroke Pines, FL 33024-3617
Phone
(954) 964-1490
Fax
(954) 963-3453

About Dr. Gordon

Mark William Gordon, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 7100 W 20TH Ave, #703, Hialeah, FL 33016-1897. The NPI number 1467441618 was assigned on October 20, 2005 and the record was last updated on March 3, 2020.

Dr. Gordon lists a license in the registry: #ME13633 (FL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark William Gordon, M.D.?

The NPI number is 1467441618.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (305) 822-4515.

Where is Dr. Gordon located?

7100 W 20TH Ave, #703, Hialeah, FL 33016-1897.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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