| NPI | 1831115211 |
|---|---|
| Doing Business As | FIRST COAST DERMATOPATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHARLES V PERNICIARO Owner 904-246-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |