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Academic Alliance In Dermatology, PLLC

Dermatology in Clearwater, FL. Organization (NPI-2).

NPI number1447827308
StatusActive
Last updated in NPPESSep 14, 2026

Details

NPI
1447827308
Entity type
Organization (NPI-2)
Legal business name
Academic Alliance In Dermatology, PLLC
Organization subpart
Yes
Enumeration date
Jun 9, 2021
Certification date
Sep 14, 2026
Last updated
Sep 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes
207ND0101X Dermatology, MOHS-Micrographic Surgery––
207ND0900X Dermatology, Dermatopathology––
207NP0225X Dermatology, Pediatric Dermatology––
207NS0135X Dermatology, Procedural Dermatology––

Practice location

1801 N Belcher Rd Ste B
Clearwater, FL 33765-1452

Phone 727-935-0503 · Fax 727-935-0504

Mailing address

Po Box 23329
New York, NY 10087-3329

Fax 410-883-0876

Authorized official

Nicole Proffitt
Director Of Enrollment & Credential
8048696269

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