Academic Alliance In Dermatology
LBN: Academic Alliance In Dermatology, Inc
Academic Alliance In Dermatology is an health care organization with primary practice located at 5210 Webb Rd , Tampa FL 33615-4518. 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, Inc can be contacted via phone (813) 882-9986, or through Peterman, Angela Ruth via phone (410) 766-0111.
Contact Information
Primary practice address
5210 Webb Rd
Tampa FL 33615-4518
Phone: (813) 882-9986
Fax: (813) 882-9849
Website:
Authorized official contact:
Name: Peterman, Angela Ruth Doctor of Medicine (MD)
Phone: (410) 766-0111
Health care specialties
| Specialty | Code | License # | 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 | 1538119722 |
|---|---|
| LBN Legal business name | Academic Alliance In Dermatology, Inc |
| DBA Doing business as | Academic Alliance In Dermatology |
| Authorized official | Peterman, Angela Ruth Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Jan 26th, 2024 - about 10 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538119722 | NPPES |
| Florida | MEDICAID | 113329600 |
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