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Premium Practice Solutions, LLC
NPI 1164711214 · Gastroenterology Physician · Lighthouse Point, FL
Provider details
- NPI number
- 1164711214
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hang Nguyen, Office Manager(954) 428-2480
- License
- ME89279 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058
Phone: (954) 428-2480
Fax: (954) 428-2904
Approximate (ZIP-level) locationGet directions
Mailing address
5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058
Additional practice locations (1)
- 1500 N University Dr Ste 100Coral Springs, FL 33071-6071Phone: (954) 428-2480Fax: (954) 757-4003
Registry dates
- Enumerated
- 2011-03-29
- Last updated
- 2021-10-25
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.