Mogle, Douglas J
Mogle, Douglas J is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mogle, Douglas J can be contacted via phone (321) 434-1771.Contact Information
Primary practice address
1350 Hickory St
Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME45551 | Florida |
Profile Details
NPI number | 1295717528 |
---|---|
LBN Legal business name | Mogle, Douglas J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2005 |
Last updated | Jul 31st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295717528 | NPPES |
Florida | Other | 130014007 | RR MEDICARE |
Florida | MEDICAID | 040872700 | RR MEDICARE |
Popular Providers
-
Hanson, Jarom Elden
1350 Hickory St , Melbourne FL 32901 -
Sunter, William R
1223 Gateway Dr Suite 2G, Melbourne FL 32901-2607 -
Riascos, Maritza
1341 Medical Park Dr Suite 101A, Melbourne FL 32901-3235 -
Roy, Tanushree
1350 Hickory St , Melbourne FL 32901 -
Spencer, Angela S
2100 N Wickham Rd , Melbourne FL 32935 -
Carter, Timothy D
1223 Gateway Dr Ste 2G , Melbourne FL 32901-2607 -
Dandapani, Bhuvaneswari K
1223 Gateway Dr Ste 2G , Melbourne FL 32901-2607 -
Skirk, Diana I
2571W Eau Gallie Blvd Suite 4, Melbourne FL 32935-8302