Academic Alliance In Dermatology, PLLC
Dermatology in St Petersburg, Florida
1184291106- Practice location
- 3950 3RD St N Ste A, St Petersburg, FL 33703-6123
- Phone
- 727-821-0612
- Fax
- 727-822-5507
- Last updated
- September 14, 2026
Academic Alliance In Dermatology, PLLC is a healthcare organization based in St Petersburg, FL. Academic Alliance In Dermatology, PLLC practices in St Petersburg, FL. The NPI Number for Academic Alliance In Dermatology, PLLC is 1184291106. The current practice location address for Academic Alliance In Dermatology, PLLC is 3950 3RD St N Ste A, St Petersburg, FL 33703-6123 and can be reached out via phone at 727-821-0612 and via fax at 727-822-5507.
Provider Profile Details
- NPI Number
- 1184291106
- Provider Name
- Academic Alliance In Dermatology, PLLC
- Provider Entity Type
- Organization
- Address
- 3950 3RD St N Ste A, St Petersburg, FL 33703-6123
- Phone Number
- 727-821-0612
- Fax Number
- 727-822-5507
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- Yes
- Parent Organization
- Academic Alliance In Dermatology, PLLC
- Authorized Official
- Nicole Proffitt · Director Of Enrollment & Credential · 804-869-6269
- Provider Enumeration Date
- June 8, 2021
- Last Update Date
- September 14, 2026
- Certification Date
- September 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3950 3RD St N Ste A
St Petersburg, FL 33703-6123 - City
- St Petersburg
- State
- Florida
- Zip
- 33703-6123
- Phone Number
- 727-821-0612
- Fax Number
- 727-822-5507
Provider Business Mailing Address Details
- Address
- Po Box 23329
New York, NY 10087-3329 - City
- New York
- State
- NY
- Zip
- 10087-3329
- Fax Number
- 410-883-0876
License Information
- Taxonomy (1)
- Dermatology · 207N00000X · Primary
- Taxonomy (2)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Taxonomy (3)
- Dermatology, Pediatric Dermatology · 207NP0225X
- Taxonomy (4)
- Dermatology, Procedural Dermatology · 207NS0135X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near St Petersburg, FL
View all Dermatology providers in St Petersburg →Frequently Asked Questions
What is the NPI number of Academic Alliance In Dermatology, PLLC?
The NPI number of Academic Alliance In Dermatology, PLLC is 1184291106. It was assigned on June 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Academic Alliance In Dermatology, PLLC?
Academic Alliance In Dermatology, PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Academic Alliance In Dermatology, PLLC practice?
The practice location is 3950 3RD St N Ste A, St Petersburg, FL 33703-6123. The office can be reached at 727-821-0612 (phone) or 727-822-5507 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184291106 directly on the NPPES registry website.