Perniciaro, Charles Vincent
Perniciaro, Charles Vincent is an individual health care provider with primary practice located at 10406 Seaside Way , Tampa FL 33615-4251. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Perniciaro, Charles Vincent can be contacted via phone (904) 860-1929.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 017322 | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 28877 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 21961 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | K6231 | Texas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 2013-02379 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 36240 | South Carolina |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 51624 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 042694 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME51624 | Florida |
Profile Details
| NPI number | 1972557890 |
|---|---|
| LBN Legal business name | Perniciaro, Charles Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Mar 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972557890 | NPPES |
| Florida | Other | 070014059 | MEDICARE RR |
| Florida | Other | 52332476003 | MEDICARE RR |
| Florida | Other | 10287 | MEDICARE RR |
| Florida | MEDICAID | 000837075B | MEDICARE RR |
| Florida | Other | HY024A | MEDICARE RR |
| Florida | Other | 070014191 | MEDICARE RR |
| Florida | Other | 07BBSHB | MEDICARE RR |
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