Academic Alliance In Dermatology, PLLC
Dermatology in St Petersburg, Florida
1538802186- Practice location
- 6776 54TH Ave N, St Petersburg, FL 33709-1405
- Phone
- 727-935-0510
- Fax
- 727-935-0511
- 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 1538802186. The current practice location address for Academic Alliance In Dermatology, PLLC is 6776 54TH Ave N, St Petersburg, FL 33709-1405 and can be reached out via phone at 727-935-0510 and via fax at 727-935-0511.
Provider Profile Details
- NPI Number
- 1538802186
- Provider Name
- Academic Alliance In Dermatology, PLLC
- Provider Entity Type
- Organization
- Address
- 6776 54TH Ave N, St Petersburg, FL 33709-1405
- Phone Number
- 727-935-0510
- Fax Number
- 727-935-0511
- 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
- April 20, 2022
- Last Update Date
- September 14, 2026
- Certification Date
- September 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6776 54TH Ave N
St Petersburg, FL 33709-1405 - City
- St Petersburg
- State
- Florida
- Zip
- 33709-1405
- Phone Number
- 727-935-0510
- Fax Number
- 727-935-0511
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
- Taxonomy (5)
- Pathology, Dermatopathology · 207ZD0900X
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 1538802186. It was assigned on April 20, 2022 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 6776 54TH Ave N, St Petersburg, FL 33709-1405. The office can be reached at 727-935-0510 (phone) or 727-935-0511 (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 1538802186 directly on the NPPES registry website.