Quantum Leap Farm, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

QUANTUM LEAP FARM, INC.

Practice address

10504 Woodstock Rd
Odessa, FL 33556-5017

Phone

(813) 920-9250

Fax

(813) 920-2124

NPI assigned

Jun 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Edie Dopking, PH.D.

Title

Executive Director

Phone

(813) 920-9250

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1255651022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 WOODSTOCK RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565017",
            "telephone_number": "813-920-9250",
            "fax_number": "813-920-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 WOODSTOCK RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565017",
            "telephone_number": "813-920-9250",
            "fax_number": "813-920-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM LEAP FARM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "DOPKING",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-920-9250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Odessa, FL
• Providers in Odessa, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.