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Contact Information

PHILIP A CARNEVALE, MSN, APRN, FNP-C
5105 BOWDEN RD
JACKSONVILLE, FL32216
 Phone: 352-870-4661
 Fax: 904-212-2227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PHILIP A CARNEVALE · (Male)

NPI Number 1376049213
Status Active
Credentials MSN, APRN, FNP-C
Entity Individual
Enumeration date 03/31/2018
Last updated 01/09/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 9333709
  • FL Medicaid 101879200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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