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PREMIUM PRACTICE SOLUTIONS LLC NPI 1164711214


NPI Information

NPI: 1164711214
Provider Name: PREMIUM PRACTICE SOLUTIONS, LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 10D2138281

Address:
5340 N FEDERAL HWY STE 110
LIGHTHOUSE POINT, FL
ZIP 33064
Phone: (954) 428-2480
Get Directions

PREMIUM PRACTICE SOLUTIONS, LLC is a gastroenterology internal medicine in Lighthouse Point, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PREMIUM PRACTICE SOLUTIONS, LLC NPI is 1164711214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5340 N FEDERAL HWY STE 110
LIGHTHOUSE POINT, FL
ZIP 33064-058
Phone: (954) 428-2480
Fax: (954) 428-2904

The provider's authorized official is Hang Nguyen .
The authorized official title is Office Manager and has the following contact phone number (954) 428-2480.

The CLIA number assigned to this NPI record is 10D2138281 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 10/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyME89279FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FG672AOTHERFLORIDAMEDICARE
2008600100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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