Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Perniciaro MD PA

Organization Dermatopathology Physician · NPI 1407877392

Charles Perniciaro MD PA is a Dermatopathology Physician 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.

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Practice location Address checks out

183 Landrum Ln Ste 201
Ponte Vedra Beach, FL 32082-3837
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 number1407877392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Perniciaro — Owner & Physician Provider · (904) 241-0633
Other names Neptune Beach Dermatology
NPI enumeratedJuly 23, 2006
Last updated in NPPESDecember 5, 2014
Mailing addressPo Box 51498, Jacksonville Beach, FL 32240-1498

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