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 615 Midflorida Dr Ste 1 , Lakeland FL 33813-4921. 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 (863) 455-8100, or through Peterman, Angela Ruth via phone (410) 766-0111.
Contact Information
Primary practice address
615 Midflorida Dr Ste 1
Lakeland FL 33813-4921
Phone: (863) 455-8100
Fax: (863) 455-8099
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 | 1659948503 |
|---|---|
| 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 9th, 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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