BRUNSWICK DERMATOLOGY CLINIC – Dermatopathology Physician, NPI 1497771869

BRUNSWICK DERMATOLOGY CLINIC is a healthcare provider. based in Jacksonville beach, Florida. specializing in Dermatopathology Physician. The NPI Number for BRUNSWICK DERMATOLOGY CLINIC is 1497771869

Main info

Organization
Name
BRUNSWICK DERMATOLOGY CLINIC
NPI
1497771869
Phone
(904) 241-0633
Address
PO BOX 51498
Authorized Official
DR. CHARLES VINCENT PERNICIARO OWNER MD
Enumeration Date
15 July 2006
Last Update Date
5 December 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for BRUNSWICK DERMATOLOGY CLINIC

  • PO BOX 51498

    JACKSONVILLE BEACH, FL 322401498

    Phone: (904) 241-0633

    Type: Mailing

  • 183 LANDRUM LN

    SUITE 201

    PONTE VEDRA BEACH, FL 320823837

    Phone: (904) 241-0633

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32240)

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Frequently asked questions

What is the standard ID for BRUNSWICK DERMATOLOGY CLINIC in the U.S.?
In the U.S., BRUNSWICK DERMATOLOGY CLINIC is identified by NPI 1497771869.
Quick check: is BRUNSWICK DERMATOLOGY CLINIC active?
Public NPPES data shows BRUNSWICK DERMATOLOGY CLINIC with an active NPI status right now.
What type of care does BRUNSWICK DERMATOLOGY CLINIC provide?
BRUNSWICK DERMATOLOGY CLINIC's profile centers on Dermatopathology Physician. Clinical services aligned with this taxonomy classification.
Is BRUNSWICK DERMATOLOGY CLINIC tied to Jacksonville Beach, Florida?
If you are local to Jacksonville Beach, Florida, BRUNSWICK DERMATOLOGY CLINIC may be relevant to your search.
Who maintains BRUNSWICK DERMATOLOGY CLINIC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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