Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER ALLAN MOSURE, ATC ETT LAT
ActiveROGER ALLAN MOSURE, ATC ETT LAT is a Legal Medicine healthcare provider located in LAKE MARY, Florida. NPI 1790742484 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · LAKE MARY, FL
Registration Details
- NPI Number
- 1790742484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.326215731815 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00-170 (FL)
Practice Information
- Address
-
6551LONGWOOD-LAKE MARY BLVDLAKE MARY, FL, 32746Browse FL providers · Browse ZIP 32746
- Phone
- 4073209550
- Primary Specialty
-
Legal Medicine
173000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.