Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

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

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

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

National Provider Identifier

1497771869

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Registry record

Entity type Organization (Type 2)

Legal business name Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic

Other name <Unavail>

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

Phone (904) 241-0633

Enumeration date Jul 15, 2006

Last updated in NPPES Dec 5, 2014

Taxonomy & classification

207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charles Perniciaro

Title Owner

Phone (904) 241-0633

Other identifiers

Identifier	Type	State	Issuer
DA7309	Other	GA	MEDICARE RAILROAD

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.

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Frequently asked questions

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.

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

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

Providers at this address

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Charles Perniciaro MD PA Dermatopathology Physician · Ponte Vedra Beach, FL NPI 1407877392

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