OrganizationActive
Daniel J Basulto MD PA
NPI 1407151863 · General Practice Physician · Surfside, FL
Provider details
- NPI number
- 1407151863
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Basulto, President(786) 252-8261
- License
- ME81034 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9208 Harding Ave
Surfside, FL 33154-3010
Phone: (786) 252-8261
Approximate (ZIP-level) locationGet directions
Mailing address
9208 Harding Ave
Surfside, FL 33154-3010
Registry dates
- Enumerated
- 2011-01-17
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.