Quantum Leap Farm, Inc.

NPI #1255651022 in Odessa, Florida

Provider Information

NPI Number
1255651022
Entity Type
Organization
Organization Name
Quantum Leap Farm, Inc.
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jun 3, 2010
Last Updated
Jun 3, 2010

Practice Location

Address
10504 WOODSTOCK RD
City
Odessa
State
Florida
ZIP Code
33556-5017
Phone
(813) 920-9250

Authorized Official

Name
MS. EDIE DOPKING, PH.D.
Title
EXECUTIVE DIRECTOR
Phone
(813) 920-9250

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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