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Contact Information

ROGER A MOSURE, ATC ETT LAT
6551LONGWOOD-LAKE MARY BLVD
LAKE MARY, FL32746
 Phone: 407-320-9550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for ROGER A MOSURE · (Male)

NPI # 1790742484
Status Active
Credentials ATC ETT LAT
Entity Individual
Enumeration date 04/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 00-170
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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