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
Phone: (857) 275-5035
Fax: (813) 287-6306
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 24817 | West Virginia |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 111482 | Montana |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 121139 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 200300850 | North Carolina |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 101252 | Wisconsin |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | ME121139 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336113752 | NPPES |
North Carolina | MEDICAID | 891344X |
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