Individual
DR. MARK JEFFREY MOGUL
Active
Individual
DR. MARK JEFFREY MOGUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G068539
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME121139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111952500
—
FL
Enumeration date
02/14/2006
Last updated
06/02/2025
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