Organization
WESTSIDE MEDICAL CLINIC PA
Active
Other names
ROMAN MOSAI, INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN MOSAI M.D. (PRESIDENT)
(407) 822-4739
Entity
Organization
Contact information
Practice address
5084 W COLONIAL DR, ORLANDO, FL 32808-7666
(407) 822-4739
(407) 822-4789
Mailing address
5084 W COLONIAL DR, ORLANDO, FL 32808-7666
(407) 822-4739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME40999
FL
207Q00000X
Family Medicine Physician
ME40999
FL
207R00000X
Internal Medicine Physician
ME40999
FL
Other
Enumeration date
12/15/2006
Last updated
10/25/2007
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