BRUNSWICK DERMATOLOGY CLINIC
NPI 1497771869
Dermatology - Dermatopathology in Ponte Vedra Beach, FL

Q: What is Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic's specialty?

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

Active since July 15, 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.

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About Brunswick Dermatology Clinic NPPES

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

BRUNSWICK DERMATOLOGY CLINIC (NPI 1497771869) 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 Vincent Perniciaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1497771869

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameCHARLES V PERNICIARO, M.D., P.C., D/B/A BRUNSWICK DERMATOLOGY CLINIC

Location Address183 LANDRUM LN, SUITE 201Ponte Vedra Beach, FL 32082-3837

Mailing AddressPo Box 51498Jacksonville Beach, FL 32240-1498 · (904) 241-0633

Phone(904) 241-0633

Organization SubpartNo

Authorized OfficialCharles Vincent PerniciaroOwner · (904) 241-0633

Enumeration DateJuly 15, 2006

Last NPPES UpdateDecember 5, 2014

✔ NPI 1497771869 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 AsBrunswick Dermatology Clinic

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP3919GA · Group Number

OtherDA7309GA · Medicare Railroad

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 PERNICIARO MD PA

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 V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic's NPI number?

The NPI number for Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic is 1497771869. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Brunswick Dermatology Clinic.

Where is Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic located?

Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic is located at 183 Landrum Ln Suite 201, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 241-0633.

What is Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic'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 V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic 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.