CARROUSEL MEDICAL CENTER CORPORATION (NPI# 1932656253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932656253 |
| Entity Type | Organization |
| Organization Name | CARROUSEL MEDICAL CENTER CORPORATION |
| Practice Address |
3201 Budinger Ave Saint Cloud FL 34769-7203 |
| Practice Telephone | 4074148409 |
| Mailing Telephone | 4074148409 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | DR. REYNALDO PEZZOTTI (PRESIDENT) |
| Authorized Official Telephone | 9399692068 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
3201 BUDINGER AVE |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386752517 | Criseyde Chernavski | Physical Therapist | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2006-08-28 |
| 1629681242 | Kaitlin Gonzalez | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-08-24 |
| 1457962995 | Akash Udeepak Bali | Physical Medicine & Rehabilitation | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-08-10 |
| 1710595046 | Lynette Chaves | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-07-22 |
| 1972112209 | Fernando Antonio Varela | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-07-22 |
| 1720696446 | Kristal Marie Marquez | Specialist/Technologist | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-07-20 |
| 1952927881 | Jackeline Cuevas Perez | Case Manager/Care Coordinator | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-06-16 |
| 1568002053 | Alduy Tortoriello | Behavior Technician | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2020-01-13 |
| 1700437761 | Orlando Reyes | Counselor | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2019-09-21 |
| 1922655091 | Luis Andre Quinones | Counselor | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1801432554 | Believe Health Care | Clinic/Center | 1203 Florida Ave, Saint Cloud, FL 34769-3721 | 2019-11-18 |
| 1982819561 | Catholic Charities of The Diocese of St Cloud | Clinic/Center | 1726 7th Ave S, Saint Cloud, MN 56301-5711 | 2007-05-14 |
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| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.