OrganizationActive
Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic
NPI 1497771869 · Dermatopathology Physician · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1497771869
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Perniciaro, Owner(904) 241-0633
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
183 Landrum Ln
Suite 201
Ponte Vedra Beach, FL 32082-3837
Phone: (904) 241-0633
Street-level locationGet directions
Mailing address
Po Box 51498
Jacksonville Beach, FL 32240-1498
Other names (DBA / former)
- Doing business as
- Brunswick Dermatology Clinic
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2014-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.