DANIEL J BASULTO

HIALEAH, FL
NPI1962413385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: FL  ME81034)
Enumeration Date2006-08-10
Last Update Date2020-10-09
Business Address
DANIEL J BASULTO MD
4578 W 12TH AVE
HIALEAH, FL 33012-3325
Phone number: 305-828-1989
Mailing Address
DANIEL J BASULTO MD
9208 HARDING AVE
SURFSIDE, FL 33154-3010
Phone number: 786-252-8261
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