Individual
DR. PHILIP ADRIAN CARNEVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5105 BOWDEN RD, JACKSONVILLE, FL 32216-5907
(904) 374-0260
(904) 619-5463
Mailing address
5105 BOWDEN RD, JACKSONVILLE, FL 32216-5907
(904) 374-0260
(904) 619-5463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME63643
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME63643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372464601
—
FL
Enumeration date
11/28/2006
Last updated
05/11/2012
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