NPI | 1407505431 |
---|---|
Doing Business As | ABUNDANT LIFE INSTITUTE |
Entity Type | Organization |
Authorized Contact | BRANDY C WILLIS Owner 850-702-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-03-18 |
Last Update Date | 2023-01-07 |