Individual
SHIRLEY CAMPBELL-MOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4101 NW 4TH STREET, SUITE 200, PLANTATION, FL 33317-2839
(954) 791-5420
(954) 791-5950
Mailing address
4101 NW 4TH ST, SUITE 200, PLANTATION, FL 33317-2850
(954) 791-5420
(954) 791-5950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378403700
—
FL
Enumeration date
05/01/2007
Last updated
02/17/2016
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