Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel J Basulto MD PA

Organization General Practice Physician · NPI 1407151863

Daniel J Basulto MD PA is a General Practice Physician in Surfside, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9208 Harding Ave
Surfside, FL 33154-3010
Phone: (786) 252-8261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME81034 (FL)

Record details

NPI number1407151863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Basulto — President · (786) 252-8261
NPI enumeratedJanuary 17, 2011
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address9208 Harding Ave, Surfside, FL 33154-3010

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