Healthcare Provider Details

I. General information

NPI: 1932081494
Provider Name (Legal Business Name): ABIGAIL GRACE PARISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35752 HILLBROOK AVE
ZEPHYRHILLS FL
33541
US

IV. Provider business mailing address

12276 SAN JOSE BLVD STE 508
JACKSONVILLE FL
32223-8618
US

V. Phone/Fax

Practice location:
  • Phone: 813-957-6799
  • Fax: 813-957-6799
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: