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 1598332918
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 04, 2021

4238 W KENNEDY BLVD, TAMPA, FL 33609(813) 879-6040(813) 879-6043 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, Apr 22, 2022, Jun 4, 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 1598332918) is a healthcare organization registered as a dermatology in Tampa, Florida and active in the NPI registry since June 2021. The organization lists Nicole Proffitt, Director Of Enrollment & Credential, as its authorized official.

NPPES Registry Identity

NPI1598332918

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameACADEMIC ALLIANCE IN DERMATOLOGY, PLLC

Location Address4238 W KENNEDY BLVDTampa, FL 33609-2231

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

Phone(813) 879-6040

Fax(813) 879-6043

Organization SubpartYes

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

Enumeration DateJune 4, 2021

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1598332918 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

4238 W KENNEDY BLVD, 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 ›

Other Providers at the Same Location NPPES 7

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

ALEXANDRA YATROS MPAS, PA-C

Physician Assistant