Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | ME136467 | FL |
NPI | 1295140085 |
---|---|
Provider Name | Dr. Jesse Alan Morse |
First Address | Miami, FL 33137-3737 |
Second Address | Miami, FL 33137-3737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2014 |
Last Update Date | 19/10/2021 |