ACADEMIC ALLIANCE IN DERMATOLOGY – NPI #1538119722
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

ACADEMIC ALLIANCE IN DERMATOLOGY is a dermatologist located in TAMPA, FL. NPPES has assigned the NPI number 1538119722 to ACADEMIC ALLIANCE IN DERMATOLOGY on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACADEMIC ALLIANCE IN DERMATOLOGY” is a dba name, the actual legal business name for this organization is ACADEMIC ALLIANCE IN DERMATOLOGY, INC. According to the NPI Registry, there are 20 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Dec 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACADEMIC ALLIANCE IN DERMATOLOGY below.

NPI Profile for
ACADEMIC ALLIANCE IN DERMATOLOGY, INC

NPI Number
1538119722
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Doing Business As (dba): ACADEMIC ALLIANCE IN DERMATOLOGY
Primary location
5210 WEBB RD
TAMPA, FL 33615-4518
Phone: (813) 882-9986 Fax: (813) 882-9849
20 Other location(s):
1201 S Myrtle Ave
Clearwater, FL 33756-3424
Phone: (727) 442-1917
Fax: (727) 446-3490
1801 N Belcher Rd Ste B
Clearwater, FL 33765-1452
Phone: (727) 935-0503
Fax: (727) 935-0504
3190 N McMullen Booth Rd Ste 203
Clearwater, FL 33761-2013
Phone: (727) 258-9143
Fax: (727) 823-7043
646 Virginia St Ste 201
Dunedin, FL 34698-6612
Phone: (727) 270-7291
Fax: (727) 823-7043
13910 Fivay Rd Ste 5
Hudson, FL 34667-7130
Phone: (727) 259-7930
Fax: (727) 935-0505
1260 West Bay Dr
Ste C and F
Largo, FL 33770-2285
Phone: (727) 935-0500
Fax: (727) 935-0501
1503 W Reynolds St
Plant City, FL 33563-4733
Phone: (813) 514-4688
Fax: (813) 341-3288
6901 Simmons Loop Ste 207
Riverview, FL 33578-9498
Phone: (813) 868-3052
Fax: (813) 868-3046
6600 University Pkwy Ste 302
Sarasota, FL 34240-9048
Phone: (940) 800-5001
Fax: (941) 800-5012
3950 3rd St N Ste A
St Petersburg, FL 33703-6123
Phone: (727) 821-0612
Fax: (707) 822-5507
6776 54th Ave N
St Petersburg, FL 33709-1405
Phone: (727) 935-0510
Fax: (727) 935-0511
13321 N 56th St
Tampa, FL 33617-1161
Phone: (813) 341-1488
Fax: (813) 341-1489
2919 W Swann Ave Ste 205
Tampa, FL 33609-4050
Phone: (813) 514-8985
Fax: (813) 514-8983
4238 W Kennedy Blvd
Tampa, FL 33609-2231
Phone: (813) 879-6040
Fax: (813) 879-6043
4700 N Habana Ave Ste 303
Tampa, FL 33614-7118
Phone: (813) 341-3285
Fax: (813) 341-3284
6331 Memorial Hwy Ste D
Tampa, FL 33615-4537
Phone: (813) 822-9986
Fax: (813) 882-9849
1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone: (727) 934-7638
Fax: (727) 944-4052
2044 Trinity Oaks Blvd Ste 130
Trinity, FL 34655-4405
Phone: (727) 375-5961
Fax: (727) 376-8710
2438 Bloomingdale Ave
Valrico, FL 33596-6403
Phone: (813) 440-5544
Fax: (813) 440-5545
2412 Cypress Glen Dr Ste 102
Wesley Chapel, FL 33544-4603
Phone: (813) 341-1480
Fax: (813) 528-8730
Mailing address
1306 CONCOURSE DR STE 201
LINTHICUM HEIGHTS, MD 21090-1033
Phone: Fax:
Organization Subpart
Yes - ACADEMIC ALLIANCE IN DERMATOLOGY is subpart of another organization.
Authorized Official
ANGELA PETERMAN
PRESIDENT/OWNER
Phone: (410) 766-0111
Updated
Certification Date
Dec 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ACADEMIC ALLIANCE IN DERMATOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL113329600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.