Organization
ABUNDANT LIFE INSTITUTE, LLC
Active
Other names
Abundant Life Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY C WILLIS MD (OWNER)
(850) 702-0300
Entity
Organization
Contact information
Practice address
2646 CENTENNIAL PL STE A, TALLAHASSEE, FL 32308-0573
(850) 402-6210
Mailing address
2646 CENTENNIAL PL STE A, TALLAHASSEE, FL 32308-0573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
01/07/2023
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