Mark Dorman, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS23577 Issued in FL

Practice address

730 Malabar Rd Ste a
Malabar, FL 32950-3140

Phone

(321) 312-3464

Fax

(321) 409-6811

NPI assigned

Mar 17, 2023

Last updated

Jun 16, 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 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Alabama College of Osteopathic Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: mark.dorman.1@14627.direct.athenahealth.com

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1811699655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MALABAR RD STE A",
            "city": "MALABAR",
            "state": "FL",
            "postal_code": "329503140",
            "telephone_number": "321-312-3464",
            "fax_number": "321-409-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MALABAR RD STE A",
            "city": "MALABAR",
            "state": "FL",
            "postal_code": "329503140",
            "telephone_number": "321-312-3464",
            "fax_number": "321-409-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S 23rd St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504803",
            "country_code": "US",
            "telephone_number": "772-773-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS23577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "XP695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Maria Chacko, MD
• Kamil T Cieply, MD
• Alejandro Cirilo, LCSW
• Allen R Condo, MD
• Mary Donadini, ARNP
• Melissa Ann Ellis, FNP
• Rachael Eliana Garcia
• Charlene D Gilbert
• Courtland Gross
• Wanda D Gross

• Internal Medicine Physician in Malabar, FL
• Providers in Malabar, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.