Provider Demographics
NPI:1295140085
Name:MORSE, JESSE ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:ALAN
Last Name:MORSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 BISCAYNE BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3737
Mailing Address - Country:US
Mailing Address - Phone:305-367-1176
Mailing Address - Fax:
Practice Address - Street 1:3915 BISCAYNE BLVD STE 406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3737
Practice Address - Country:US
Practice Address - Phone:305-367-1176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136467207QS0010X, 207QS0010X
FL23920207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine