Active NPI
Westside Medical Clinic PA
- Emergency Medicine Physician
- Orlando, FL
National Provider Identifier
1619039765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME40999
- Legal business name
- WESTSIDE MEDICAL CLINIC PA
- Practice address
- 5084 W Colonial Dr
Orlando, FL 32808-7666 - Phone
- (407) 822-4739
- Fax
- (407) 822-4789
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roman Mosai, M.D.
- Title
- President
- Phone
- (407) 822-4739
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME40999 | FL | Primary |
| Family Medicine Physician | 207Q00000X | ME40999 | FL | |
| Internal Medicine Physician | 207R00000X | ME40999 | FL |
Addresses
Primary practice location
5084 W Colonial Dr
Orlando, FL 32808-7666
Mailing address
5084 W Colonial Dr
Orlando, FL 32808-7666
Phone (407) 822-4739
Other names 1
- ROMAN MOSAI, INC
National Provider Directory
National Provider DirectoryLocations
5084 W Colonial Dr
Orlando, FL 32808
Phone (407) 822-4739
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1619039765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5084 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087666",
"telephone_number": "407-822-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5084 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087666",
"telephone_number": "407-822-4739",
"fax_number": "407-822-4789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE MEDICAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "MOSAI",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-822-4739",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME40999",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME40999",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME40999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROMAN MOSAI, INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Orlando, FL
- Westminster Senior Care Pharmacy, LLC (Longevity Scripts)
- Heidi Marie Westmoreland
- Tamarah Jeanette Westmoreland, MD PHD
- Carl L. Weston, DDS
- Jennifer Elaine Weston, M.A., CCC-SLP
- Westwood Alliance Chapel, Inc. (Westwood Church)
- Dylon James Wetzel
- Edward Alan Wetzel
- Addison Justine Wexler
- Erin McCook Wexler, MED., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.