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Organization
PARTHENON MEDICAL PLLC
Active
Organization
PARTHENON MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP CARNEVALE APRN, FNP-C (NURSE PRACTITIONER)
(904) 609-3349
Entity
Organization
Contact information
Practice address
5105 BOWDEN RD STE 3, JACKSONVILLE, FL 32216-5907
(904) 660-7896
(904) 212-2227
Mailing address
5105 BOWDEN RD STE 3, JACKSONVILLE, FL 32216-5907
(904) 609-3349
(904) 212-2227
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
NULL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101879200
—
FL
Enumeration date
09/12/2018
Last updated
01/09/2024
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