# ABUNDANT LIFE HEALTHCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477484764
- **Authorized official:** MS. GABRIELA HARRISON PA-C (MANAGER)
- **Authorized official phone:** (239) 273-5588

## Contact information

- **Practice address:** 841 PRUDENTIAL DR STE 1219A, JACKSONVILLE, FL 32207-8329
- **Practice address phone:** (239) 273-5588
- **Mailing address:** 1032 E BRANDON BLVD \# 1769, BRANDON, FL 33511-5509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2026
- **Last updated:** 05/26/2026