# PARTHENON MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285117549
- **Authorized official:** MR. PHILIP CARNEVALE APRN, FNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (904) 609-3349

## Contact information

- **Practice address:** 5105 BOWDEN RD STE 3, JACKSONVILLE, FL 32216-5907
- **Practice address phone:** (904) 660-7896
- **Practice address fax:** (904) 212-2227
- **Mailing address:** 5105 BOWDEN RD STE 3, JACKSONVILLE, FL 32216-5907
- **Mailing address phone:** (904) 609-3349
- **Mailing address fax:** (904) 212-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2018
- **Last updated:** 01/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101879200 | — | FL |