Parthenon Medical Pllc | |
5105 Bowden Rd Ste 3 Jacksonville FL 32216-5907 | |
(904) 660-7896 | |
(904) 212-2227 |
Full Name | Parthenon Medical Pllc |
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Speciality | Nurse Practitioner |
Location | 5105 Bowden Rd Ste 3, Jacksonville, Florida |
Authorized Official Name and Position | Philip Carnevale (NURSE PRACTITIONER) |
Authorized Official Contact | 9046093349 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Parthenon Medical Pllc 5105 Bowden Rd Ste 3 Jacksonville FL 32216-5907 Ph: (904) 609-3349 | Parthenon Medical Pllc 5105 Bowden Rd Ste 3 Jacksonville FL 32216-5907 Ph: (904) 660-7896 |
NPI Number | 1285117549 |
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Provider Enumeration Date | 09/12/2018 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Medicare PECOS PAC ID | 7214273853 |
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Medicare Enrollment ID | O20190118000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285117549 | NPI | - | NPPES |
101879200 | Medicaid | FL |
Provider Name | Philip Austin Carnevale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376049213 PECOS PAC ID: 8123364767 Enrollment ID: I20190118000224 |
Provider Name | Laura J Solon Baker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194892869 PECOS PAC ID: 1153385521 Enrollment ID: I20210506002616 |
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