NPI 1245807767 · live from the CMS NPI Registry
Academic Alliance In Dermatology, PLLC
Dermatology in Tarpon Springs, FL. National Provider Identifier 1245807767, active.
NPI record
| NPI | 1245807767 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1005 E Boyer St, Tarpon Springs, FL 34689 |
| Practice phone | 727-934-7638 |
| Mailing address | Po Box 23329, New York, NY 10087 |
| Enumerated | June 4, 2021 |
| Last updated | September 14, 2026 |
| Authorized official | Nicole Proffitt, Director Of Enrollment & Credential |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology, Dermatopathology | 207ND0900X | — |
| Dermatology, Pediatric Dermatology | 207NP0225X | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.