Dr Mark William Gordon, MD | |
7100 W 20th Ave, #703, Hialeah, FL 33016-1897 | |
(305) 822-4515 | |
(954) 963-3453 |
Full Name | Dr Mark William Gordon |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 57 Years |
Location | 7100 W 20th Ave, Hialeah, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467441618 | NPI | - | NPPES |
056068500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME13633 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vitalmd Group Holding Llc | 8921091786 | 459 |
Entity Name | Vitalmd Group Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark William Gordon, MD 2301 N University Dr, #203, Pembroke Pines, FL 33024-3617 Ph: (954) 964-1490 | Dr Mark William Gordon, MD 7100 W 20th Ave, #703, Hialeah, FL 33016-1897 Ph: (305) 822-4515 |
Paul Jose Perales, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4910 E 2nd Ave, Hialeah, FL 33013 Phone: 305-400-9454 | |
Dr. Jesus Ramon Rodriguez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7150 W 20th Ave, Suite 402, Hialeah, FL 33016 Phone: 305-557-3833 Fax: 305-557-3349 | |
Rafael Diaz Acosta, MD Surgery Medicare: Medicare Enrolled Practice Location: 3499 W 4th Ave Ste 201, Hialeah, FL 33012 Phone: 305-558-0411 | |
Alejandro M Hernandez Cano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 W 3rd St, Hialeah, FL 33010 Phone: 305-446-3636 | |
Dr. Werner Alfredo Andrade Ortiz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 777 E 25th St, Suite 420, Hialeah, FL 33013 Phone: 305-691-0118 Fax: 305-696-0007 | |
Ms. Beatriz Lam, ARNP Surgery Medicare: Not Enrolled in Medicare Practice Location: 2001 West 68 St, Cvicu, Hialeah, FL 33016 Phone: 305-823-5000 | |
Dr. Raul Mederos Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 372 W 47 Street, Hialeah, FL 33012 Phone: 305-698-0112 Fax: 305-698-0169 |