Individual provider · Type 1 NPI

Roger Allan Mosure, ATC ETT LAT

Legal Medicine · Lake Mary, FL

NPI number 1790742484 Active

Practice location

6551LONGWOOD-LAKE Mary Blvd
Lake Mary, FL 32746

Mailing address

546 Tiberon Cove Rd
Longwood, FL 32750-2951

Specialties and licenses

TaxonomyCodeLicense
Legal Medicine Primary 173000000X00-170 (FL)

Legal Medicine: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical …

About NPI 1790742484

Roger Allan Mosure, ATC ETT LAT's National Provider Identifier is 1790742484, issued on Apr 27, 2006. The primary taxonomy on file is Legal Medicine (173000000X), and the practice location is in Lake Mary, FL. The record was last updated on Jul 13, 2026.