Active NPIOrganization

Academic Alliance In Dermatology, PLLC

Dermatology in Wesley Chapel, Florida

NPI Number1184291130
Practice location
2412 Cypress Glen Dr Ste 102, Wesley Chapel, FL 33544-4603
Fax
813-528-8730
Last updated
September 14, 2026

Academic Alliance In Dermatology, PLLC is a healthcare organization based in Wesley Chapel, FL. Academic Alliance In Dermatology, PLLC practices in Wesley Chapel, FL. The NPI Number for Academic Alliance In Dermatology, PLLC is 1184291130. The current practice location address for Academic Alliance In Dermatology, PLLC is 2412 Cypress Glen Dr Ste 102, Wesley Chapel, FL 33544-4603 and can be reached out via phone at 813-341-1480 and via fax at 813-528-8730.

Provider Profile Details

NPI Number
1184291130
Provider Name
Academic Alliance In Dermatology, PLLC
Provider Entity Type
Organization
Address
2412 Cypress Glen Dr Ste 102, Wesley Chapel, FL 33544-4603
Phone Number
813-341-1480
Fax Number
813-528-8730
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
2412 Cypress Glen Dr Ste 102
Wesley Chapel, FL 33544-4603
State
Florida
Zip
33544-4603
Phone Number
813-341-1480
Fax Number
813-528-8730
Wesley Chapel, FL 33544Get directions →

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, Dermatopathology · 207ND0900X
Taxonomy (4)
Dermatology, Pediatric Dermatology · 207NP0225X
Taxonomy (5)
Dermatology, Procedural Dermatology · 207NS0135X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Academic Alliance In Dermatology, PLLC?

The NPI number of Academic Alliance In Dermatology, PLLC is 1184291130. 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 2412 Cypress Glen Dr Ste 102, Wesley Chapel, FL 33544-4603. The office can be reached at 813-341-1480 (phone) or 813-528-8730 (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 1184291130 directly on the NPPES registry website.

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