Organization
PERNICIARO LABORATORIES, INC
Active
Other names
First Coast Dermatopathology
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES V PERNICIARO MD (OWNER)
(904) 246-0908
Entity
Organization
Contact information
Practice address
804 3RD ST STE A, NEPTUNE BEACH, FL 32266-5062
(904) 246-0908
(904) 246-6417
Mailing address
PO BOX 51498, JACKSONVILLE BEACH, FL 32240-1498
(904) 246-0908
(904) 246-6417
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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