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NPI Code Detail

MEDICARE: SKYLER JOAL PAVLISH-CARPENTER APRN

MEDICARE: SKYLER JOAL PAVLISH-CARPENTER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11036835FL

General Provider Information

NPI Number : 1558250357
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLER JOAL PAVLISH-CARPENTER APRN
Provider Business Mailing Address
First Line : 125 FLORIDA MEMORIAL PKWY STE 2200
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-9309
Country : US
Telephone Number : 386-409-6839
Fax Number : 386-409-6916
Provider Business Practice Location Address
First Line : 125 FLORIDA MEMORIAL PKWY STE 2200
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-9309
Country : US
Telephone Number : 386-409-6839
Fax Number : 386-409-6916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 08/12/2025

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