Charles Perniciaro MD PA
Charles Perniciaro MD PA provides Dermatopathology Physician services in Ponte Vedra Beach, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
183 Landrum Ln Ste 201Ponte Vedra Beach, FL 32082-3837 Not confirmed with CMS for 11 years — call before visiting
Phone: (904) 241-0633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X |
|---|
Record details
| NPI number | 1407877392 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Perniciaro — Owner & Physician Provider · (904) 241-0633 |
| Other names | Neptune Beach Dermatology |
| NPI enumerated | July 23, 2006 |
| Last updated in NPPES | December 5, 2014 |
| Mailing address | Po Box 51498, Jacksonville Beach, FL 32240-1498 |
Other providers in Ponte Vedra Beach
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Charles V Perniciaro, MD, PC, D/B/A Brunswick Dermatology Clinic
183 Landrum Ln Ste 201, Ponte Vedra Beach, FL 32082-3837 · (904) 241-0633