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

Premium Abundant Life Services LLC

Organization Supports Brokerage Agency · NPI 1245404094

Premium Abundant Life Services LLC is a Supports Brokerage Agency in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

804 E Richmere St
Tampa, FL 33612-8044
Phone: (813) 932-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X · Licence 230426 (FL)

Record details

NPI number1245404094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Griffith — Administrator/ Operations Manager · (813) 932-1240
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 14, 2008
Mailing address804 E Richmere St, Tampa, FL 33612-8044

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