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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 1669049615
Dermatology in Tampa, FL

Active since June 08, 2021CLIA 10D2140546 · Microscopy
13321 N 56TH ST, TAMPA, FL 33617(813) 341-1488(813) 341-1489 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 8, 2021 (3 updates tracked since 2021).

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 1669049615) is a healthcare organization registered as a dermatology in Tampa, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Microscopy certificate valid through April 2, 2028 and lists Nicole Proffitt, Director Of Enrollment & Credential, as its authorized official.

NPPES Registry Identity

NPI1669049615
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACADEMIC ALLIANCE IN DERMATOLOGY, PLLC
Location Address13321 N 56TH STTampa, FL 33617-1161
Mailing AddressPo Box 23329New York, NY 10087-3329 · Fax (410) 883-0876
Phone(813) 341-1488
Fax(813) 341-1489
Organization SubpartYes
Authorized OfficialNicole ProffittDirector Of Enrollment & Credential · (804) 869-6269
Enumeration DateJune 8, 2021
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1669049615 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
13321 N 56TH ST, Tampa, FL 33617
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 10D2140546

Academic Alliance In Dermatology Inc · Tampa, FL
Active · expires Apr 2, 2028
CLIA Number10D2140546
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorDavid Sable
Laboratory Phone(813) 341-1488
Laboratory LocationAcademic Alliance In Dermatology Inc13321 North 56th Street, Tampa, FL 33617
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES

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

MICHELLE M BROWN MSN, APRN, AGPCNP-C
Nurse Practitioner
13321 N 56TH ST
TAMPA, FL 33617
Hillsborough County (813) 341-1488

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 1669049615. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is Academic Alliance In Dermatology, PLLC located?

Academic Alliance In Dermatology, PLLC is located at 13321 N 56th St, Tampa, FL 33617. The listed phone number is (813) 341-1488.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2140546) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 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.