MARK VANDENBERG
NPI 1689890949
Specialist in Ft Lauderdale, FL

Q: What is Mark Vandenberg's NPI number?

The NPI number for Mark Vandenberg is 1689890949. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Mark Vandenberg's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Vandenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2007

1601 NE 11TH AVE, FT LAUDERDALE, FL 33305(920) 850-5758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark Vandenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK VANDENBERG (NPI 1689890949) is an individual specialist in Ft Lauderdale, Florida, licensed in Florida (PTA20097) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1689890949

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMARK VANDENBERG

Location Address1601 NE 11TH AVEFt Lauderdale, FL 33305-3171

Mailing Address1601 Ne 11th AveFt Lauderdale, FL 33305-3171 · (920) 850-5758

Phone(920) 850-5758

Sole ProprietorYes

Enumeration DateApril 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689890949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · PTA20097

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1601 NE 11TH AVE, Ft Lauderdale, FL 33305

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Vandenberg's NPI number?

The NPI number for Mark Vandenberg is 1689890949. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Mark Vandenberg located?

Mark Vandenberg practices at 1601 NE 11th Ave, Ft Lauderdale, FL 33305. The listed phone number is (920) 850-5758.

What is Mark Vandenberg's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Vandenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.