Brunswick Dermatology Clinic
LBN: Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic
Brunswick Dermatology Clinic is an health care organization with primary practice located at 183 Landrum Ln Suite 201, Ponte Vedra Beach FL 32082-3837. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic can be contacted via phone (904) 241-0633, or through Perniciaro, Charles Vincent via phone (904) 241-0633.
Contact Information
Primary practice address
183 Landrum Ln Suite 201
Ponte Vedra Beach FL 32082-3837
Phone: (904) 241-0633
Fax:
Website:
Authorized official contact:
Name: Perniciaro, Charles Vincent Doctor of Medicine (MD)
Phone: (904) 241-0633
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X |
Profile Details
| NPI number | 1497771869 |
|---|---|
| LBN Legal business name | Charles V Perniciaro, M.D., P.C., D/B/A Brunswick Dermatology Clinic |
| DBA Doing business as | Brunswick Dermatology Clinic |
| Authorized official | Perniciaro, Charles Vincent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Dec 5th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497771869 | NPPES |
| Georgia | Other | DA7309 | MEDICARE RAILROAD |
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