NPI 1184291106

Academic Alliance in Dermatology, INC

Organisation Dermatology Physician St Petersburg, FL

Practice location

Address: 3950 3rd St N STE a, St Petersburg, FL 33703-6123
Phone: (727) 821-0612
Fax: (727) 822-5507
Mailing address: 5210 Webb Rd, Tampa, FL 33615-4518

Authorised official

Name: Angela Peterman
Title: President/Owner
Phone: (410) 766-0111

Registered specialties (4)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1184291106
Entity type: Organization
NPI issued: 8 Jun 2021
Record last updated: 21 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.