Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Academic Alliance in Dermatology, Inc

Organization Dermatology Physician · NPI 1548837586

Academic Alliance in Dermatology, Inc is a Dermatology Physician in Clearwater, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3190 N McMullen Booth Rd Ste 203
Clearwater, FL 33761-2013
Phone: (727) 258-9143
Fax: (727) 823-7043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1548837586
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAcademic Alliance in Dermatology, Inc
Authorized official Angela Peterman — President/Owner · (410) 766-0111
NPI enumeratedJune 8, 2021
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address5210 Webb Rd, Tampa, FL 33615-4518

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