Provider Demographics
NPI:1497014617
Name:QUALITY LIFE HEALTH CENTER INC.
Entity Type:Organization
Organization Name:QUALITY LIFE HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABNER
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:GABALDON
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:407-452-2498
Mailing Address - Street 1:804 EMMETT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5434
Mailing Address - Country:US
Mailing Address - Phone:407-504-5019
Mailing Address - Fax:407-504-5029
Practice Address - Street 1:804 EMMETT ST
Practice Address - Street 2:SUITE A
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5434
Practice Address - Country:US
Practice Address - Phone:407-504-5019
Practice Address - Fax:407-504-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN305261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service