PREMIUM PROVIDER SERVICES LLC

MIAMI GARDENS, FL
NPI1669165007
Entity TypeOrganization
Authorized ContactELISELLY RODRIGUEZ
Ambr
786-312-3834
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
PREMIUM PROVIDER SERVICES LLC
19035 NW 43RD CT
MIAMI GARDENS, FL 33055-2644
Phone number: 786-312-3834
Mailing Address
PREMIUM PROVIDER SERVICES LLC
19035 NW 43RD CT
MIAMI GARDENS, FL 33055-2644
Phone number: 786-312-3834
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