Academic Alliance In Dermatology, Pllc

LBN: Academic Alliance In Dermatology, Pllc
Academic Alliance In Dermatology, Pllc is an health care organization with primary practice located at 4700 N Habana Ave Ste 303 , Tampa FL 33614-7118. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Academic Alliance In Dermatology, Pllc can be contacted via phone (813) 341-3285, or through Proffitt, Nicole via phone (804) 869-6269.

Contact Information

Primary practice address
4700 N Habana Ave Ste 303 Tampa FL 33614-7118
Phone: (813) 341-3285
Fax: (813) 341-3284
Website:
Map and Directions
Authorized official contact:
Name: Proffitt, Nicole
Phone: (804) 869-6269

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1215504154
LBN Legal business name Academic Alliance In Dermatology, Pllc
DBA Doing business as
Authorized official Proffitt, Nicole
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 9th, 2021
Last updated Sep 14th, 2026 - about last month

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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