Mogul, Mark Jeffrey

Mogul, Mark Jeffrey is an individual health care provider with primary practice located at 92 W Miller St Fl 2 , Orlando FL 32806-2032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Mogul, Mark Jeffrey can be contacted via phone (857) 275-5035.

Contact Information

Primary practice address
92 W Miller St Fl 2 Orlando FL 32806-2032
Fax: (813) 287-6306
Website:

Profile Details

NPI number 1336113752
LBN Legal business name Mogul, Mark Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 16th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336113752 NPPES
North Carolina MEDICAID 891344X

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