Carnevale, Philip Adrian

Carnevale, Philip Adrian is an individual health care provider with primary practice located at 5105 Bowden Rd , Jacksonville FL 32216-5907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Carnevale, Philip Adrian can be contacted via phone (904) 374-0260.

Contact Information

Primary practice address
5105 Bowden Rd Jacksonville FL 32216-5907
Phone: (904) 374-0260
Fax: (904) 619-5463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME63643 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME63643 Florida

Profile Details

NPI number 1225105299
LBN Legal business name Carnevale, Philip Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated May 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225105299 NPPES
Florida MEDICAID 372464601

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