Premium Provider Services Llc

LBN: Premium Provider Services Llc
Premium Provider Services Llc is an health care organization with primary practice located at 19035 Nw 43Rd Ct , Miami Gardens FL 33055-2644. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Premium Provider Services Llc can be contacted via phone (786) 312-3834, or through Rodriguez, Eliselly via phone (786) 312-3834.

Contact Information

Primary practice address
19035 Nw 43Rd Ct Miami Gardens FL 33055-2644
Phone: (786) 312-3834
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Eliselly
Phone: (786) 312-3834

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1669165007
LBN Legal business name Premium Provider Services Llc
DBA Doing business as
Authorized official Rodriguez, Eliselly
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2023
Last updated May 31st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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