1. Home
  2. Directory
  3. Florida
  4. Trinity
  5. Dermatology
  6. NPI Profile

ACADEMIC ALLIANCE IN DERMATOLOGY, INC
NPI 1518534932
Dermatology in Trinity, FL

Active since June 04, 2021CLIA 10D1079582 · Certificate of Compliance
2044 TRINITY OAKS BLVD STE 130, TRINITY, FL 34655(727) 375-5961(727) 376-8710 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Jun 4, 2021 (2 updates tracked since 2021).

About Academic Alliance In Dermatology, Inc NPPES

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

ACADEMIC ALLIANCE IN DERMATOLOGY, INC (NPI 1518534932) is a healthcare organization registered as a dermatology in Trinity, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Certificate of Compliance certificate valid through May 13, 2028 and lists Angela Ruth Peterman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1518534932
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACADEMIC ALLIANCE IN DERMATOLOGY, INC
Location Address2044 TRINITY OAKS BLVD STE 130Trinity, FL 34655-4405
Mailing Address5210 Webb RdTampa, FL 33615-4518 · (813) 882-9986 · Fax (813) 882-9849
Phone(727) 375-5961
Fax(727) 376-8710
Organization SubpartYes
Authorized OfficialAngela Ruth PetermanPresident/owner · (410) 766-0111
Enumeration DateJune 4, 2021
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1518534932 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
2044 TRINITY OAKS BLVD STE 130, Trinity, FL 34655
Open in Google Maps ↗

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

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 10D1079582

Academic Alliance In Dermatology Inc · Trinity, FL
Active · expires May 13, 2028
CLIA Number10D1079582
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorDr. David Lam
Laboratory Phone(727) 375-5961
Laboratory LocationAcademic Alliance In Dermatology Inc2044 Trinity Oaks Blvd Ste 130, Trinity, FL 34655
CLIA data matches this NPI record on: Address Name Phone
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.

LAUREN M TOPP DNP, APRN, FNP-BC
Nurse Practitioner (Family)
2044 TRINITY OAKS BLVD STE 130
TRINITY, FL 34655
Pasco County (727) 375-5961
HEATHER M SCULL MMS, PA-C
Physician Assistant
2044 TRINITY OAKS BLVD STE 130
TRINITY, FL 34655
Pasco County (727) 375-5961

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, Inc's NPI number?

The NPI number for Academic Alliance In Dermatology, Inc is 1518534932. It was assigned to this organization in the NPPES registry on June 4, 2021.

Where is Academic Alliance In Dermatology, Inc located?

Academic Alliance In Dermatology, Inc is located at 2044 Trinity Oaks Blvd Ste 130, Trinity, FL 34655. The listed phone number is (727) 375-5961.

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

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

Does Academic Alliance In Dermatology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1079582) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Academic Alliance In Dermatology, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Academic Alliance In Dermatology, Inc 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, Inc was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.