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NEPTUNE BEACH DERMATOLOGY
NPI 1407877392
Dermatology - Dermatopathology in Ponte Vedra Beach, FL

Active since July 23, 2006
183 LANDRUM LN, SUITE 201, PONTE VEDRA BEACH, FL 32082(904) 241-0633 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neptune Beach Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEPTUNE BEACH DERMATOLOGY (NPI 1407877392) is a healthcare organization registered as a dermatopathology in Ponte Vedra Beach, Florida and active in the NPI registry since July 2006. The organization lists Charles V. Perniciaro, Owner & Physician Provider, as its authorized official.

NPPES Registry Identity

NPI1407877392
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameCHARLES PERNICIARO MD PA
Location Address183 LANDRUM LN, SUITE 201Ponte Vedra Beach, FL 32082-3837
Mailing AddressPo Box 51498Jacksonville Beach, FL 32240-1498 · (904) 246-0908
Phone(904) 241-0633
Organization SubpartNo
Authorized OfficialCharles V. PerniciaroOwner & Physician Provider · (904) 241-0633
Enumeration DateJuly 23, 2006
Last NPPES UpdateDecember 5, 2014
✔ NPI 1407877392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
183 LANDRUM LN, Ponte Vedra Beach, FL 32082
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Other Names 1

Doing Business AsNeptune Beach Dermatology

Other Identifiers 1

Medicare ID-Type UnspecifiedK8489FL · Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES V PERNICIARO, M.D., P.C., D/B/A BRUNSWICK DERMATOLOGY CLINIC
Dermatology (Dermatopathology)
183 LANDRUM LN, SUITE 201
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 241-0633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Perniciaro MD PA's NPI number?

The NPI number for Charles Perniciaro MD PA is 1407877392. It was assigned to this organization in the NPPES registry on July 23, 2006. The provider is doing business as Neptune Beach Dermatology.

Where is Charles Perniciaro MD PA located?

Charles Perniciaro MD PA is located at 183 Landrum Ln Suite 201, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 241-0633.

What is Charles Perniciaro MD PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Charles Perniciaro MD PA was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.