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Organization

PREMIUM PROVIDER SERVICES LLC

Active
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Organization

PREMIUM PROVIDER SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISELLY RODRIGUEZ (OWNER)
(786) 312-3834
Entity
Organization

Contact information

Practice address
5979 NW 151ST ST STE 237, MIAMI LAKES, FL 33014-2434
(786) 312-3834
(305) 876-3189
Mailing address
5979 NW 151ST ST STE 237, MIAMI LAKES, FL 33014-2434
(786) 312-3834
(305) 876-3189

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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