Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A RIVERA (VICE PRESIDENT)
(407) 319-6199
Entity
Organization
Contact information
Practice address
1906 N JOHN YOUNG PARKWAY, SUITE 101, KISSIMMEE, FL 34741
(321) 223-8185
(321) 966-4447
Mailing address
14000 SANCTUARY CREEK WAY UNIT 304, ORLANDO, FL 32832-6617
(321) 223-8185
(321) 966-4447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008033500
—
FL
05
—
117575100
—
FL
Enumeration date
05/26/2016
Last updated
07/27/2026
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