Healthcare Provider Details
I. General information
NPI: 1932117546
Provider Name (Legal Business Name): MORSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2006
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7867 N KENDALL DR SUITE 105
MIAMI FL
33156-7735
US
IV. Provider business mailing address
7867 N KENDALL DR SUITE 105
MIAMI FL
33156-7735
US
V. Phone/Fax
- Phone: 305-279-2900
- Fax: 305-279-1415
- Phone: 305-279-2900
- Fax: 305-279-1415
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0203X |
| Taxonomy | Radiation Oncology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
G.
SCHWADE
Title or Position: EXECUTIVE DIRECTOR
Credential: MD
Phone: 305-670-2256