DANIEL J BASULTO MD PA
Osteopathic Medicine at 12 Ave, Hialeah, FL

License number
Florida ME81034
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DANIEL J BASULTO MD PA
Title: PRESIDENT
Phone: (786) 252-8261
Address
Address 2
4578 W 12Th Ave, Hialeah, FL 33012
9208 Harding Ave, Miami, FL 33154
National Provider ID: 1407151863
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Daniel J. Basulto, M.D., PA

9208 Harding Ave, Miami, FL 33154

Industry:
Business Services at Non-Commercial Site, Medical Doctor's Office
Registration:
Jan 11, 2001
State ID:
P01000004553
Business type:
Domestic for Profit Corporation
President, Director:
Daniel J. Basulto (President, Director)

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