Perniciaro Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PERNICIARO LABORATORIES, INC

Doing business as

First Coast Dermatopathology

Practice address

804 3Rd St Ste a
Neptune Beach, FL 32266-5062

Phone

(904) 246-0908

Fax

(904) 246-6417

NPI assigned

Jul 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles V Perniciaro, MDNPI 1972557890

Title

Owner

Phone

(904) 246-0908

Specialties & licenses 1

Addresses

Other names 1

• First Coast Dermatopathology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Vincent Perniciaro, M.D.

  • Dermatopathology Physician
  • Tampa, FL
  • NPI 1972557890
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831115211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51498",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322401498",
            "telephone_number": "904-246-0908",
            "fax_number": "904-246-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 3RD ST STE A",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665062",
            "telephone_number": "904-246-0908",
            "fax_number": "904-246-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERNICIARO LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERNICIARO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-246-0908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Coast Dermatopathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teri Pappas, LMHC
• Prahlad Patel
• Karla B Payne
• Pediatric Associates of NE Florida, LLC (Jacksonville Pediatric Associates)
• Emerson Penalba, PHARMD
• Julie Marie Pippins, PHARMD
• Leslie G Platock, DDS
• Nicole Pondexter, LMT
• Publix Super Markets Inc (Publix Pharmacy #1367)
• Miguel Alberto Ramirez-del Toro, PHARM. D.

• Clinical Medical Laboratory in Neptune Beach, FL
• Providers in Neptune Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.