Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1306827167 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Robert Gardner , MD

Dermatology • Loxahatchee, FL

⚠️

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 Gardner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2005
NPI Deactivation Date October 02, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Gardner, MD was a registered Dermatology practicing in Loxahatchee, FL. Throughout an active medical career spanning 20 years, Dr. Gardner provided care at the practice location at 13005 SOUTHERN BLVD until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

13005 Southern Blvd
Medical Mall 1 Suite 122

Loxahatchee, FL 334709206

Telephone 5617981649
Fax 5617918631
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Loxahatchee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Loxahatchee, FL (1273 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

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME0068374

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Stacie Campbell

Physician Assistant - Medical

NPI 1235530486
Tatiana Idrobo , MPAS, PA-C

Physician Assistant

NPI 1972301372

MPAS, Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active August 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2010

Registered at 13005 SOUTHERN BLVD, MEDICAL MALL 1 SUITE 122, LOXAHATCHEE, FL 334709206 (Tel: 5617981649)

📍
Updated Business Mailing Address August 18, 2010

Registered at 120 BUTLER ST, WEST PALM BEACH, FL 334076107 (Tel: 5616591510)

👤
Provider Name / Credentials Updated August 18, 2010

Recorded as MARK GARDNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2010

Dermatology (License #ME0068374 in FL)

🟢
Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Gardner. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Gardner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306827167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2005
Last Update: August 18, 2010
Deactivation Date: October 02, 2025

Mailing Address

120 Butler St

West Palm Beach, FL 334076107

Phone: 5616591510

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.