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Deactivated NPI 1184697310 Deactivated / Inactive NPI Male Practitioner

Dr. Mark S Goz , MD

General Practice • Lauderdale Lakes, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Goz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2006
NPI Deactivation Date August 11, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Goz, MD was a registered General Practice practicing in Lauderdale Lakes, FL. Throughout an active medical career spanning 16 years, Dr. Goz provided care at the practice location at 2951 NW 49TH AVE until profile deactivation on 2022-08-11.

Practice Location & Contact Primary Location

Practice Address

2951 Nw 49th Ave
Ste 201

Lauderdale Lakes, FL 33313

Telephone 9544865700
Fax 9544842574
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lauderdale Lakes, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Lauderdale Lakes, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME0045240

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Regina Portnova , MD

Internal Medicine

NPI 1114908373

Doctor of Medicine (M.D.)

Dr. Nicholas Coretti , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1235500422

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 11, 2022

Record deactivated on August 11, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2951 NW 49TH AVE, STE 201, LAUDERDALE LAKES, FL 33313 (Tel: 9544865700)

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Updated Business Mailing Address July 08, 2007

Registered at 2951 NW 49TH AVE, STE 201, LAUDERDALE LAKES, FL 33313 (Tel: 9544865700)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK GOZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #ME0045240 in FL)

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Initial NPI Registration & Enumeration February 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184697310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: July 08, 2007
Deactivation Date: August 11, 2022

Mailing Address

2951 Nw 49th Ave, Ste 201

Lauderdale Lakes, FL 33313

Phone: 9544865700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.