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Kalet Leon Basulto

NPI 1538895172 · on the registry since 2022

Practice

Address
14788 Sw 179th St
Miami, FL 33187
Phone
(786) 779-5447
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida