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

Richard M Basaly, MD

Individual provider Family Medicine Physician · NPI 1497983084

Richard M Basaly, MD is a Family Medicine Physician in Orlando, Florida. Works from 2 locations. Licensed in Florida, North Carolina and South Carolina.

Licensed in
FL, NC, SC
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

86 W Underwood St
Orlando, FL 32806-1110
Phone: (888) 912-3648
Fax: (321) 841-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 951 N Washington Ave, Titusville, FL 32796-2163 — (321) 268-6111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME124898 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL31891 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2016-02367 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence ME124898 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 2016-02367 (NC)

Record details

NPI number1497983084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESDecember 12, 2017
Mailing address102 W Pineloch Ave Ste 23, Orlando, FL 32806-6100

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