Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premium Provider Services LLC

Organization Community/Behavioral Health Agency · NPI 1669165007

Premium Provider Services LLC is a Community/Behavioral Health Agency in Miami Gardens, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19035 NW 43rd Ct
Miami Gardens, FL 33055-2644
Phone: (786) 312-3834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1669165007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eliselly Rodriguez — Ambr · (786) 312-3834
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address19035 Nw 43rd Ct, Miami Gardens, FL 33055-2644

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