Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Charles Perniciaro MD PA

Dermatopathology Physician in Ponte Vedra Beach, FL · enumerated 2006 · authorized official Charles Perniciaro, Owner & Physician Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407877392

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Registry record

Entity type Organization (Type 2)

Legal business name Charles Perniciaro MD PA

Other name <Unavail>

Practice address 183 Landrum Ln, Suite 201, Ponte Vedra Beach, FL, 32082

Phone (904) 241-0633

Enumeration date Jul 23, 2006

Last updated in NPPES Dec 5, 2014

Taxonomy & classification

207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charles Perniciaro

Title Owner & Physician Provider

Phone (904) 241-0633

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Charles Perniciaro MD PA located?

The practice location on file with NPPES is in Ponte Vedra Beach, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-05. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic Dermatopathology Physician · Ponte Vedra Beach, FL NPI 1497771869

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-05.