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Organization

MB PRIMARY CARE LLC

Active
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Organization

MB PRIMARY CARE LLC

Active
Other names
Melissa Bibb ARNP
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA MARIE BIBB ARNP (OWNER)
(816) 258-0431
Entity
Organization

Contact information

Practice address
9555 SEMINOLE BLVD STE 104, SEMINOLE, FL 33772-2522
(727) 394-1500
(866) 632-1343
Mailing address
2213 GLENMOOR RD S, CLEARWATER, FL 33764-4922
(816) 258-0431
(866) 632-1343

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9400491
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01857390
FL
01
ARNP9400491
MEDICAL LICENSE
FL
Enumeration date
06/21/2017
Last updated
06/21/2017
About Stedi
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