Organization
CARROUSEL THERAPY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A RIVERA (VICE PRESIDENT)
(407) 891-3054
Entity
Organization
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 891-3054
Mailing address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 891-3054
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008033500
—
FL
Enumeration date
05/26/2016
Last updated
05/26/2016
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