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Organization

DANIEL J BASULTO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL J BASULTO (PRESIDENT)
(786) 252-8261
Entity
Organization

Contact information

Practice address
9208 HARDING AVE, SURFSIDE, FL 33154-3010
(786) 252-8261
Mailing address
9208 HARDING AVE, SURFSIDE, FL 33154-3010
(786) 252-8261

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME81034
FL

Other

Enumeration date
01/17/2011
Last updated
04/21/2026
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