DR. MARK MOGUL (NPI# 1336113752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336113752 |
| Entity Type | Individual |
| Full Name | DR. MARK MOGUL |
| Credential | M.D. |
| Practice Address |
3001 W Dr Martin Luther King Jr Blvd 1st Floor Tampa FL 33607-6307 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 8133216820 |
| Practice Fax Number | 8132876306 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
ME121139 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
24817 | WV | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
200300850 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891344X | 05 |
| Street Address |
3001 W DR MARTIN LUTHER KING JR BLVD 1ST FLOOR |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242609 | Luis A Martinez-frontanilla | Surgery | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2005-06-01 |
| 1992306773 | Grace Smith | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-11-06 |
| 1407454408 | Cary Panichello | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-10-12 |
| 1558978601 | Alyssa Wozniak | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-09-23 |
| 1245845270 | Marian Galang | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-09-15 |
| 1427674613 | Tampa Oncology and Proton LLC | Radiology | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1679199939 | Diana Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1932736725 | Elizabeth Altenhofen | Internal Medicine | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-03-24 |
| 1053963702 | Kathryn Hale | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2019-07-12 |
| 1487127973 | Simona Dobos | Surgery | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344463 | Don E Eslin | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2006-02-10 |
| 1013909373 | Hardeo Karamchand Panchoosingh | Pediatrics | 3001 W. Dr. Martin Luther King Jr. Blvd., 1st Floor, Tampa, FL 33607-6307 | 2005-08-22 |
| 1790912665 | Juan Felipe Rico | Pediatrics | 2 Tampa General Cir, Stc 5th Floor, Tampa, FL 33606-3603 | 2009-06-17 |
| 1679707715 | Samantha Tania Schaefer | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2009-05-04 |
| 1801068366 | Damon R Reed | Pediatrics | 12902 Usf Magnolia Dr, Fob1 Sarcoma Program, Tampa, FL 33612-9416 | 2008-03-25 |
| 1255531455 | Erin Marie Cockrell | Pediatrics | 3001 W. Dr. Martin Luther King Jr. Blvd., 1st Floor, Tampa, FL 33607-6307 | 2007-07-25 |
| 1083619621 | Cameron Kamran Tebbi | Pediatrics | 2 Tampa General Cir, Stc 2nd Floor, Tampa, FL 33606-3603 | 2005-06-20 |
| 1326043936 | Dana Ann Obzut | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-7123 | 2005-06-20 |
| 1700881323 | Hans-christoph Rossbach | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-7123 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225598626 | Kidz Medical Services, Inc. | Pediatrics | 3100 Sw 62 Ave Suite 121-north East Wing, Miami, FL 33155-3009 | 2019-03-21 |
| 1417429986 | Natalie Gallegos | Pediatrics | 3100 Sw 62nd Ave # 122, Miami, FL 33155-3009 | 2018-12-21 |
| 1679978118 | Baptist Health Medical Group Oncology LLC | Pediatrics | 8940 N. Kendall Dr, Ste. 300e, Miami, FL 33176 | 2014-10-27 |
| 1225465461 | Victor M Montes Jordan | Pediatrics | 710 Wickham Lakes Dr, Viera, FL 32940-2200 | 2013-10-02 |
| 1801138144 | Taumoha Ghosh | Pediatrics | 1601 Nw 12th Ave Fl 5, Miami, FL 33136-1005 | 2013-03-25 |
| 1508112731 | Muaz Alabd Alrazzak | Pediatrics | 9980 Central Park Blvd., Suite 206, Boca Raton, FL 33428-1703 | 2012-07-25 |
| 1194080382 | Jorge Ricardo Galvez Silva | Pediatrics | 3100 Sw 62nd Ave Ste 121, Miami, FL 33155-3009 | 2012-07-12 |
| 1609025915 | Maggie C. Fader | Pediatrics | 3100 Sw 62 Ave (#212, N.e. Wing), Miami, FL 33155 | 2008-09-10 |
| 1679791370 | Guillermo Roberto De Angulo | Pediatrics | 3100 Sw 62nd Avenue, Ne Wing, Suite 121, Miami, FL 33155 | 2007-04-20 |
| 1417094707 | Kelly Sawczyn | Pediatrics | 9981 S. Healthpark Drive, Suite 156, Fort Myers, FL 33908-3618 | 2007-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.