Academic Alliance In Dermatology, Inc

LBN: Academic Alliance In Dermatology, Inc
Academic Alliance In Dermatology, Inc is an health care organization with primary practice located at 4238 W Kennedy Blvd , Tampa FL 33609-2231. 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) 879-6040, or through Peterman, Angela Ruth via phone (410) 766-0111.

Contact Information

Primary practice address
4238 W Kennedy Blvd Tampa FL 33609-2231
Phone: (813) 879-6040
Fax: (813) 879-6043
Website:
Map and Directions
Authorized official contact:
Name: Peterman, Angela Ruth Doctor of Medicine (MD)
Phone: (410) 766-0111

Health care specialties

SpecialtyCodeLicense #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 1598332918
LBN Legal business name Academic Alliance In Dermatology, Inc
DBA Doing business as
Authorized official Peterman, Angela Ruth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 4th, 2021
Last updated Apr 22nd, 2022 - about 2 years 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.

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