Basic Information
| Provider Information | |||||||||
| NPI: | 1255326369 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORSE | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 N FLAMINGO RD | ||||||||
| Address2: | STE 210 | ||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330281015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544381015 | ||||||||
| FaxNumber: | 9544500636 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 N FLAMINGO RD | ||||||||
| Address2: | STE 210 | ||||||||
| City: | PEMBROKE PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330281015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544381015 | ||||||||
| FaxNumber: | 9544500636 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2005 | ||||||||
| LastUpdateDate: | 11/27/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | ME53966 | FL | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 371435700 | 05 | FL | MEDICAID |