QUANTUM LEAP FARM INC. NPI 1255651022

NPI Information

NPI: 1255651022
Provider Name: QUANTUM LEAP FARM, INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
10504 WOODSTOCK RD
ODESSA, FL
ZIP 33556
Phone: (813) 920-9250
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QUANTUM LEAP FARM, INC. is a voluntary or charitable in Odessa, FL. QUANTUM LEAP FARM, INC. NPI is 1255651022. The provider is registered as an organization entity type.

The provider's business location address is:

10504 WOODSTOCK RD
ODESSA, FL
ZIP 33556-017
Phone: (813) 920-9250
Fax: (813) 920-2124

The provider's authorized official is Edie Dopking .
The authorized official title is Executive Director and has the following contact phone number (813) 920-9250.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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