OrganizationActive
Premium Abundant Life Services LLC
NPI 1245404094 · Supports Brokerage Agency · Tampa, FL
Provider details
- NPI number
- 1245404094
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Virginia Griffith, Administrator/ Operations Manager(813) 932-1240
- License
- 230426 (FL)
Specialties & taxonomies
Agencies
Practice location
804 E Richmere St
Tampa, FL 33612-8044
Phone: (813) 932-1240
Approximate (ZIP-level) locationGet directions
Mailing address
804 E Richmere St
Tampa, FL 33612-8044
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2008-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.