Organization
QUANTUM LEAP FARM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDIE DOPKING PH.D. (EXECUTIVE DIRECTOR)
(813) 920-9250
Entity
Organization
Contact information
Practice address
10504 WOODSTOCK RD, ODESSA, FL 33556-5017
(813) 920-9250
(813) 920-2124
Mailing address
10504 WOODSTOCK RD, ODESSA, FL 33556-5017
(813) 920-9250
(813) 920-2124
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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