Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ACADEMIC ALLIANCE IN DERMATOLOGY, PLLC
NPI 1235709528
Dermatology in Tampa, FL

Q: What is Academic Alliance In Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 29, 2021CLIA Certified · 2 labs

2919 W SWANN AVE STE 205, TAMPA, FL 33609(813) 514-8985(813) 514-8983 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Apr 21, 2022, Jun 29, 2021 (3 updates tracked since 2021).

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About Academic Alliance In Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACADEMIC ALLIANCE IN DERMATOLOGY, PLLC (NPI 1235709528) is a healthcare organization registered as a dermatology in Tampa, Florida and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Nicole Proffitt, Director Of Enrollment & Credential, as its authorized official.

NPPES Registry Identity

NPI1235709528

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameACADEMIC ALLIANCE IN DERMATOLOGY, PLLC

Location Address2919 W SWANN AVE STE 205Tampa, FL 33609-4050

Mailing AddressPo Box 23329New York, NY 10087-3329 · Fax (410) 883-0876

Phone(813) 514-8985

Fax(813) 514-8983

Organization SubpartYes

Authorized OfficialNicole ProffittDirector Of Enrollment & Credential · (804) 869-6269

Enumeration DateJune 29, 2021

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1235709528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

2919 W SWANN AVE STE 205, Tampa, FL 33609

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1027809

Academic Alliance In Dermatology Inc · Tarpon Springs, FL

Active · expires Sep 27, 2028

CLIA Number10D1027809

Laboratory TypePhysician Office

Certificate Effective DateSeptember 28, 2026

Certificate Expiration DateSeptember 27, 2028

Laboratory DirectorDr. David Lam

Laboratory Phone(813) 882-9986

Laboratory LocationAcademic Alliance In Dermatology Inc1005 E Boyer St, Tarpon Springs, FL 34689

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2056004

Academic Alliance In Dermatology · Clearwater, FL

Active · expires Aug 29, 2027

CLIA Number10D2056004

Laboratory TypePhysician Office

Certificate Effective DateAugust 30, 2025

Certificate Expiration DateAugust 29, 2027

Laboratory DirectorMatthew Zook

Laboratory Phone(813) 882-9986

Laboratory LocationAcademic Alliance In Dermatology915 Chestnut Street Suite 200, Clearwater, FL 33756

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA MAIER

Physician Assistant

2919 W SWANN AVE STE 205
TAMPA, FL 33609

Hillsborough County (813) 514-8985

LAUREN DYER PA-C

Physician Assistant

2919 W SWANN AVE STE 205
TAMPA, FL 33609

Hillsborough County (813) 514-8985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Academic Alliance In Dermatology, PLLC's NPI number?

The NPI number for Academic Alliance In Dermatology, PLLC is 1235709528. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Academic Alliance In Dermatology, PLLC located?

Academic Alliance In Dermatology, PLLC is located at 2919 W Swann Ave Ste 205, Tampa, FL 33609. The listed phone number is (813) 514-8985.

What is Academic Alliance In Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Academic Alliance In Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Academic Alliance In Dermatology, PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Academic Alliance In Dermatology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Academic Alliance In Dermatology, PLLC was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.