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Academic Alliance in Dermatology, Pllc

Dermatology Physician in Tarpon Springs, FL · enumerated 2021 · authorized official Nicole Proffitt, Director of Enrollment & Credential.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245807767

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Registry record

Entity type Organization (Type 2)
Legal business name Academic Alliance in Dermatology, Pllc
Other name <Unavail>
Parent organization Academic Alliance in Dermatology, Pllc
Practice address 1005 E Boyer St, Tarpon Springs, FL, 34689
Phone (727) 934-7638
Fax (727) 944-4052
Enumeration date Jun 4, 2021
Last updated in NPPES Sep 14, 2026

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Nicole Proffitt
Title Director of Enrollment & Credential
Phone (804) 869-6269

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-09-14. Verify at npiregistry.cms.hhs.gov.
Where is Academic Alliance in Dermatology, Pllc located?
The practice location on file with NPPES is in Tarpon Springs, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-14.