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Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Other names
CARROUSEL BEHAVIORAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RIVERA (VICE PRESIDENT)
(407) 414-8409
Entity
Organization
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 891-3054
Mailing address
2520 SAND MINE RD, DAVENPORT, FL 33897-3402
(407) 891-3054
(800) 477-7678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
882
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003711300
—
FL
Enumeration date
08/02/2016
Last updated
08/02/2016
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