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Organization
MB PRIMARY AND CONCIERGE HEALTH
Active
Organization
MB PRIMARY AND CONCIERGE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIETTA BASNUEVA NP (APRN)
(786) 895-5555
Entity
Organization
Contact information
Practice address
9408 SW 156TH PL, MIAMI, FL 33196-1120
(786) 895-5555
Mailing address
14816 SW 179TH ST, MIAMI, FL 33187-7712
(786) 895-5555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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