Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Jeffrey Mogul, MD

Individual provider Pediatrics Physician · NPI 1336113752

Dr. Mark Jeffrey Mogul, MD is a Pediatric Medicine in Orlando, Florida. Qualified in 1987, 39 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
39
Licensed in
CA, FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

92 W Miller St
Orlando, FL 32806-2032
Phone: (218) 418-5883
Fax: (321) 841-8560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 — (813) 295-1505

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence ME121139 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence G068539 (CA)

Record details

NPI number1336113752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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