# CARROUSEL THERAPY CENTER CORPORATION

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

## Provider details

- **NPI number:** 1992250518
- **Authorized official:** MRS. DALIS MINEIRA RIVERA OTR/L (PRESIDENT)
- **Authorized official phone:** (407) 891-3054

## Contact information

- **Practice address:** 2520 SAND MINE RD, DAVENPORT, FL 33897-3402
- **Practice address phone:** (863) 576-1900
- **Practice address fax:** (888) 477-7678
- **Mailing address:** 3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
- **Mailing address phone:** (407) 891-3054
- **Mailing address fax:** (888) 477-7678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | OT1601 | FL | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003711300 | — | FL |