| Parthenon Medical Pllc | |
|
5105 Bowden Rd Ste 3 Jacksonville FL 32216-5907 | |
| (904) 660-7896 | |
| (904) 212-2227 |
| Full Name | Parthenon Medical Pllc |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 7214273853 |
|---|---|
| Medicare Enrollment ID | O20190118000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285117549 | NPI | - | NPPES |
| 101879200 | Medicaid | FL |
| Provider Name | Philip Austin Carnevale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376049213 PECOS PAC ID: 8123364767 Enrollment ID: I20190118000224 |
| Provider Name | Laura J Solon Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194892869 PECOS PAC ID: 1153385521 Enrollment ID: I20210506002616 |
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