Mark Gordon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11017993 Issued in FL

Practice address

4300 N University Dr Ste A106
Lauderhill, FL 33351-6243

Phone

(786) 273-0728

Fax

(954) 639-7433

NPI assigned

Oct 30, 2013

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmonious Minds LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lauderhill, FL
  • NPI 1487361796
  Medicare reassignment NPD
• Prestige Clinicians LLC

  • Primary Care Clinic/Center
  • Oakland Park, FL
  • NPI 1497213755

  Family

  Medicare reassignment NPD
• Samdazie LLC

  dba Prestige Mobile Wound Consultants

  • Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1396493201
  Medicare reassignment NPD
• Lamags Group Inc

  dba Phoenix Medical & Associates

  • Primary Care Nurse Practitioner
  • Lauderhill, FL
  • NPI 1073496212
  NPD Authorized official
• Medm LLC

  dba Matus Medical

  • Multi-Specialty Clinic/Center
  • Oakland Park, FL
  • NPI 1710739537
  NPD
• The Loran Group Inc.

  dba Homemaker Companion & Companion

  • Home Health Agency
  • Palmetto Bay, FL
  • NPI 1326595232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1497183404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE A106",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "786-273-0728",
            "fax_number": "954-639-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE A106",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "786-273-0728",
            "fax_number": "954-639-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "11017993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017993",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11017993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Health Medical Equipment Inc
• Good Shepherds Home Care Agency
• Adriana Krystal Gordo, SLP
• Ashley C Gordon, MSW
• Kenneth Gordon, PHARM D
• Monique Caryl Gordon, DMD
• Janet Gorfain, LCSW
• Gorfien and Jacobsohn PA
• Joseph J Gorfien, DDS
• Anat Gozlan, DMD

• Family Nurse Practitioner in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.