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NPI Code Detail

MEDICARE: QUALITY LIFE HEALTH CENTER INC.

MEDICARE: QUALITY LIFE HEALTH CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/CenterACN305FL

General Provider Information

NPI Number : 1497014617
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY LIFE HEALTH CENTER INC.
Provider Business Mailing Address
First Line : 804 EMMETT ST
Second Line : SUITE A
City : KISSIMMEE
State : FL
Zip : 34741-5434
Country : US
Telephone Number : 407-504-5019
Fax Number : 407-504-5029
Provider Business Practice Location Address
First Line : 804 EMMETT ST
Second Line : SUITE A
City : KISSIMMEE
State : FL
Zip : 34741-5434
Country : US
Telephone Number : 407-504-5019
Fax Number : 407-504-5029
Authorized Official
Title or Position : PRESIDENT
Name : DR. ABNER JOSE GABALDON
Credential : M. D.
Telephone Number : 407-452-2498
Provider Enumeration Date : 05/08/2012
Last Update Date : 08/31/2012

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Directions to “QUALITY LIFE HEALTH CENTER INC. ” Practice Location

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