# CARROUSEL THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568918977
- **Authorized official:** JOSE RIVERA (VICE PRESIDENT)
- **Authorized official phone:** (407) 414-8409

## Contact information

- **Practice address:** 3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
- **Practice address phone:** (407) 891-3054
- **Mailing address:** 2520 SAND MINE RD, DAVENPORT, FL 33897-3402
- **Mailing address phone:** (407) 891-3054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2016
- **Last updated:** 08/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008033500 | — | FL |