Organization · Type 2 NPI
Daniel J Basulto MD PA
General Practice Physician · Surfside, FL
NPI number
1407151863
Active
Practice location
9208 Harding Ave
Surfside, FL 33154-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ME81034 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Surfside
About NPI 1407151863
Daniel J Basulto MD PA's National Provider Identifier is 1407151863, issued on Jan 17, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Surfside, FL. The record was last updated on Apr 21, 2026.