| Leap Of Faith Acres | |
|
14315 Family Trl Hudson FL 34669-3643 | |
| (727) 389-3056 | |
| Not Available |
| Full Name | Leap Of Faith Acres |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 14315 Family Trl, Hudson, Florida |
| Authorized Official Name and Position | Jennifer Shade (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7273893056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leap Of Faith Acres 14315 Family Trl Hudson FL 34669-3643 Ph: (727) 389-3056 | Leap Of Faith Acres 14315 Family Trl Hudson FL 34669-3643 Ph: (727) 389-3056 |
| NPI Number | 1306305891 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306305891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
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