ACADEMIC ALLIANCE IN DERMATOLOGY, INC – Dermatology Physician, NPI 1720655780

ACADEMIC ALLIANCE IN DERMATOLOGY, INC is a healthcare provider. based in Tampa, Florida. specializing in Dermatology Physician. The NPI Number for ACADEMIC ALLIANCE IN DERMATOLOGY, INC is 1720655780

Main info

Organization
Name
ACADEMIC ALLIANCE IN DERMATOLOGY, INC
NPI
1720655780
Phone
(813) 882-9986
Address
5210 WEBB RD
Authorized Official
ANGELA RUTH PETERMAN PRESIDENT/OWNER MD
Enumeration Date
8 June 2021
Last Update Date
22 April 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for ACADEMIC ALLIANCE IN DERMATOLOGY, INC

  • 5210 WEBB RD

    TAMPA, FL 336154518

    Phone: (813) 882-9986

    Fax: (813) 882-9849

    Type: Mailing

  • 13910 FIVAY RD STE 5

    HUDSON, FL 346677130

    Phone: (727) 259-7930

    Fax: (727) 935-0505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33615)

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Reviews

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Frequently asked questions

Is there an official ID for ACADEMIC ALLIANCE IN DERMATOLOGY, INC in U.S. healthcare records?
The official identifier for ACADEMIC ALLIANCE IN DERMATOLOGY, INC is NPI 1720655780.
Active or inactive — what applies to ACADEMIC ALLIANCE IN DERMATOLOGY, INC?
You should see ACADEMIC ALLIANCE IN DERMATOLOGY, INC as active in CMS-hosted NPPES data.
How would a patient describe ACADEMIC ALLIANCE IN DERMATOLOGY, INC's focus?
For ACADEMIC ALLIANCE IN DERMATOLOGY, INC, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ACADEMIC ALLIANCE IN DERMATOLOGY, INC?
Travel planning: use Tampa, Florida as the reference point for ACADEMIC ALLIANCE IN DERMATOLOGY, INC, then confirm.
When was this NPI issued?
Enumeration for ACADEMIC ALLIANCE IN DERMATOLOGY, INC is noted as June 8, 2021 where the registry provides it.

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