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

Mr. Charles Vincent Perniciaro, MD

Individual provider Dermatology Physician · NPI 1972557890

Mr. Charles Vincent Perniciaro, MD is a Pathology in Tampa, Florida. Graduated from Louisiana State University School of Medicine in New Orleans in 1983, 43 years ago. Practices with Pathology Associates PA, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona, Florida, Georgia and Louisiana and 4 more.

Years since qualifying
43
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AZ, FL, GA, LA, MN, NC
In the registry since
2006
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10406 Seaside Way
Tampa, FL 33615-4251
Phone: (904) 860-1929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence ME51624 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 017322 (LA)
Dermatology Physician Taxonomy 207N00000X · Licence 28877 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 21961 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence K6231 (TX)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 2013-02379 (NC)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 36240 (SC)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 51624 (FL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 042694 (GA)

Record details

NPI number1972557890
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Also practisesDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1983 (43 years in practice)
Group practice Pathology Associates Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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