NPI 1245404094

Premium Abundant Life Services LLC

Organisation Supports Brokerage Agency Tampa, FL

Practice location

Address: 804 E Richmere St, Tampa, FL 33612-8044
Phone: (813) 932-1240

Authorised official

Name: Virginia A. Griffith
Title: Administrator/ Operations Manager
Phone: (813) 932-1240

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 230426 (FL)

Other Supports Brokerage providers in Florida →

Registry record

NPI: 1245404094
Entity type: Organization
NPI issued: 14 Apr 2008
Record last updated: 14 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.