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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 1538119722
Dermatology in Tampa, FL

Active since May 11, 2006CLIA Certified · 4 labs
5210 WEBB RD, TAMPA, FL 33615(813) 882-9986(813) 882-9849 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Dec 31, 2024, Dec 23, 2024 and 5 more (8 updates tracked since 2018).

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 1538119722), doing business as Academic Alliance In Dermatology, is a healthcare organization registered as a dermatology in Tampa, Florida and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates, maintains 19 additional practice locations, and lists Nicole Proffitt, Director Of Enrollment & Credential, as its authorized official.

NPPES Registry Identity

NPI1538119722
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACADEMIC ALLIANCE IN DERMATOLOGY, PLLC
Location Address5210 WEBB RDTampa, FL 33615-4518
Mailing AddressPo Box 23329New York, NY 10087-3329 · Fax (410) 883-0876
Phone(813) 882-9986
Fax(813) 882-9849
Organization SubpartYes
Authorized OfficialNicole ProffittDirector Of Enrollment & Credential · (804) 869-6269
Enumeration DateMay 11, 2006
Last NPPES UpdateSeptember 14, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1538119722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5210 WEBB RD, Tampa, FL 33615
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Other Names 1

Doing Business AsAcademic Alliance In Dermatology

Secondary Practice Locations 19

Location 11503 W Reynolds StPlant City, FL 33563-4733 · Phone (813) 514-4688 · Fax (813) 341-3288
Location 24238 W Kennedy BlvdTampa, FL 33609-2231 · Phone (813) 879-6040 · Fax (813) 879-6043
Location 33950 3rd St N Ste ASt Petersburg, FL 33703-6123 · Phone (727) 821-0612 · Fax (707) 822-5507
Location 43190 N McMullen Booth Rd Ste 203Clearwater, FL 33761-2013 · Phone (727) 258-9143 · Fax (727) 823-7043
Location 56331 Memorial HwyTampa, FL 33615-4537 · Phone (813) 682-1031 · Fax (813) 682-1032
Location 66600 University Pkwy Ste 302Sarasota, FL 34240-9048 · Phone (940) 800-5001 · Fax (941) 800-5012
Location 76776 54th Ave NSt Petersburg, FL 33709-1405 · Phone (727) 935-0510 · Fax (727) 935-0511
Location 86901 Simmons Loop Ste 207Riverview, FL 33578-9498 · Phone (813) 868-3052 · Fax (813) 868-3046
Location 9915 Chestnut St Ste 200Clearwater, FL 33756-5643 · Phone (727) 442-1917 · Fax (727) 219-2446
Location 101005 E Boyer StTarpon Springs, FL 34689-5501 · Phone (727) 934-7638 · Fax (727) 944-4052
Location 111260 West Bay Drive Building C, Ste CLargo, FL 33770-2285 · Phone (727) 935-0500 · Fax (727) 935-0501
Location 1213321 N 56th StTampa, FL 33617-1161 · Phone (813) 341-1488 · Fax (813) 341-1489
Location 1313910 Fivay Rd Ste 5Hudson, FL 34667-7130 · Phone (727) 259-7930 · Fax (727) 935-0505
Location 144700 N Habana Ave Ste 303Tampa, FL 33614-7118 · Phone (813) 341-3285 · Fax (813) 341-3284
Location 151801 N Belcher Rd Ste BClearwater, FL 33765-1452 · Phone (727) 935-0503 · Fax (727) 935-0504
Location 162044 Trinity Oaks Blvd Ste 130Trinity, FL 34655-4405 · Phone (727) 375-5961 · Fax (727) 376-8710
Location 172412 Cypress Glen Dr Ste 102Wesley Chapel, FL 33544-4603 · Phone (813) 341-1480 · Fax (813) 528-8730
Location 182438 Bloomingdale AveValrico, FL 33596-6403 · Phone (813) 440-5544 · Fax (813) 440-5545
Location 192919 W Swann Ave Ste 205Tampa, FL 33609-4050 · Phone (813) 514-8985 · Fax (813) 514-8983

Other Identifiers 1

Medicaid113329600FL

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 10D2111373

Academic Alliance In Dermatology Inc · Hudson, FL
Active · expires May 16, 2028
CLIA Number10D2111373
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorDr. David Sable
Laboratory Phone(727) 259-7930
Laboratory LocationAcademic Alliance In Dermatology Inc13910 Fivay Rd Ste 5, Hudson, FL 34667
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.

Certificate of Compliance 10D2129593

Academic Alliance In Dermatology Inc · Clearwater, FL
Active · expires Jun 6, 2027
CLIA Number10D2129593
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorIriana Belongie
Laboratory Phone(727) 258-9143
Laboratory LocationAcademic Alliance In Dermatology Inc3190 Mcmullen Booth Rd Suite 203, Clearwater, FL 33761
CLIA data matches this NPI record on: 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2205243

Academic Alliance In Dermatology Inc · Riverview, FL
Active · expires Dec 13, 2026
CLIA Number10D2205243
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorThomas Mcmeekin
Laboratory Phone(813) 868-3052
Laboratory LocationAcademic Alliance In Dermatology Inc6901 Simmons Loop Rd Ste. 207, Riverview, FL 33578
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 10D2255830

Academic Alliance In Dermatology, Inc · Saint Petersburg, FL
Active · expires Mar 16, 2028
CLIA Number10D2255830
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorMatthew Zook
Laboratory Phone(813) 882-9849
Laboratory LocationAcademic Alliance In Dermatology, Inc6776 54th Ave N, Saint Petersburg, FL 33709
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2031538

Academic Alliance In Dermatology Inc · Valrico, FL
Expired · Sep 30, 2026
CLIA Number10D2031538
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDavid Sable
Laboratory Phone(656) 952-7141
Laboratory LocationAcademic Alliance In Dermatology Inc2438 Bloomingdale Ave, Valrico, FL 33596
CLIA data matches this NPI record on: Address 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 15

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

DR. COLLEEN MARY CRANDELL D.O.
Dermatology
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
SHAMITA PATEL MCMSC, PA-C
Physician Assistant
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
MCKENZIE VANHEUSEN MSN, APRN
Nurse Practitioner
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
ACADEMIC ALLIANCE IN DERMATOLOGY, PLLC
Non-Pharmacy Dispensing Site
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
DR. DAVID BRETT SABLE MD, PHD
Dermatology
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
MRS. ANNA SHAW APRN
Nurse Practitioner (Family)
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
DR. RICHARD D CASTELLANO MD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986
ANN TRAN PA
Physician Assistant
5210 WEBB RD
TAMPA, FL 33615
Hillsborough County (813) 882-9986

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 1538119722. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Academic Alliance in Dermatology.

Where is Academic Alliance In Dermatology, PLLC located?

Academic Alliance In Dermatology, PLLC is located at 5210 Webb Rd, Tampa, FL 33615. The listed phone number is (813) 882-9986.

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. 4 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 Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers 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 23 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.