Organization · NPI-2
Academic Alliance In Dermatology, PLLC
Dermatology · Tampa, FL
NPI number1235709528
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1235709528
- Entity type
- Organization (NPI-2)
- Legal business name
- Academic Alliance In Dermatology, PLLC
- Organization subpart
- Yes
- Enumeration date
- Jun 29, 2021
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207ND0900X | Dermatology, Dermatopathology | – | – | |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – | |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – |
Practice location
2919 W Swann Ave Ste 205Tampa, FL 33609-4050
Phone 813-514-8985 · Fax 813-514-8983
Mailing address
Po Box 23329New York, NY 10087-3329
Fax 410-883-0876
Authorized official
Nicole Proffitt
Director Of Enrollment & Credential
8048696269
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dermatology providers in Tampa, FL
- Academic Alliance In Dermatology, PLLCNPI 1598332918
- Academic Alliance In Dermatology, PLLCNPI 1215504154
- Academic Alliance In Dermatology, PLLCNPI 1659948503
- Academic Alliance In Dermatology, PLLCNPI 1669049615
- Academic Alliance In Dermatology, PLLCNPI 1538119722
- Dr. Divya Joseph Aickara, MDNPI 1154940690
- Sharon E Albers, MDNPI 1386639938
- Arviv Health PLLCNPI 1720698103
- Associates & Affiliates In Dermatology LLCNPI 1548739246
- Chauncey Caldwell Barbulescu, MDNPI 1730574898