Organization · Type 2 NPI

Abundant Life Healthcare, PLLC

Physician Assistant · Jacksonville, FL

NPI number 1477484764 Active

Practice location

841 Prudential Dr Ste 1219A
Jacksonville, FL 32207-8329

Mailing address

1032 E Brandon Blvd # 1769
Brandon, FL 33511-5509

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477484764

Abundant Life Healthcare, PLLC's National Provider Identifier is 1477484764, issued on May 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 26, 2026.