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Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALIS MINEIRA RIVERA OTR/L (PRESIDENT)
(407) 891-3054
Entity
Organization
Contact information
Practice address
2520 SAND MINE RD, DAVENPORT, FL 33897-3402
(863) 576-1900
(888) 477-7678
Mailing address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 891-3054
(888) 477-7678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OT1601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003711300
—
FL
Enumeration date
08/24/2016
Last updated
08/24/2016
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