Active NPI
Quality Life Health Center Inc.
- Health Service Clinic/Center
- Kissimmee, FL
National Provider Identifier
1497014617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- ACN305
- Legal business name
- QUALITY LIFE HEALTH CENTER INC.
- Practice address
- 804 Emmett St
Suite a
Kissimmee, FL 34741-5434 - Phone
- (407) 504-5019
- Fax
- (407) 504-5029
- NPI assigned
- May 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abner Jose Gabaldon, M. D.
- Title
- President
- Phone
- (407) 452-2498
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | ACN305 | FL | Primary |
Addresses
Primary practice location
804 Emmett St
Suite a
Kissimmee, FL 34741-5434
Mailing address
804 Emmett St
Suite a
Kissimmee, FL 34741-5434
Phone (407) 504-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
804 Emmett St
Ste A
Kissimmee, FL 34741
Phone (407) 223-8603
705 N Main St
Kissimmee, FL 34744
Phone (407) 504-5019
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Kissimmee, FL
- NPI 1497940043
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1649884222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346371200000",
"number": "1497014617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 EMMETT ST",
"address_2": "SUITE A",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415434",
"telephone_number": "407-504-5019",
"fax_number": "407-504-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 EMMETT ST",
"address_2": "SUITE A",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415434",
"telephone_number": "407-504-5019",
"fax_number": "407-504-5029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY LIFE HEALTH CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2012-08-31",
"status": "A",
"authorized_official_last_name": "GABALDON",
"authorized_official_first_name": "ABNER",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-452-2498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "ACN305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.