Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Academic Alliance in Dermatology, PLLC

Organization Non-Pharmacy Dispensing Site · NPI 1679857452

Academic Alliance in Dermatology, PLLC is a Non-Pharmacy Dispensing Site in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4238 W Kennedy Blvd
Tampa, FL 33609-2231
Phone: (813) 879-6040
Fax: (813) 897-6049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X (FL)

Record details

NPI number1679857452
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAcademic Alliance in Dermatology, PLLC
Authorized official Nicole Proffitt — Director Of Enrollment & Credential · (804) 869-6269
NPI enumeratedSeptember 28, 2011
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026
Mailing addressPo Box 23329, New York, NY 10087-3329

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