Carrousel Medical Center Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CARROUSEL MEDICAL CENTER CORPORATION

Practice address

3201 Budinger Ave
Saint Cloud, FL 34769-7203

Phone

(407) 414-8409

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reynaldo Pezzotti, M.D

Title

President

Phone

(939) 969-2068

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1932656253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BUDINGER AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347697203",
            "telephone_number": "407-414-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BUDINGER AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347697203",
            "telephone_number": "407-414-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROUSEL MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "PEZZOTTI",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-969-2068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Ellen Carr, L.C.S.W
• Erised Alanis Carrasquillo Neris
• Sariel Carrasquillo
• Leticia Carrion, ARNP
• Wendy Anne Carroll, CSFA
• Carrousel Therapy Center
• Carrousel Therapy Center
• Carrousel Therapy Center Corporation (Carrousel Behavioral Health Services)
• Carrousel Therapy Center Corporation
• Carrousel Therapy Center Corporation

• Health Service Clinic/Center in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.