Individual provider · Type 1 NPI
Daniel J. Basulto, MD
General Practice Physician · Surfside, FL
NPI number
1962413385
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
About NPI 1962413385
Daniel J. Basulto, MD's National Provider Identifier is 1962413385, issued on Aug 10, 2006. 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.