Dermatology
ACADEMIC ALLIANCE IN DERMATOLOGY, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538802186 · enumerated 2022-04-20 · record updated 2026-09-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: NICOLE PROFFITT, Director of Enrollment & Credential · (804) 869-6269
Addresses and phones
- Mailing address PO BOX 23329, NEW YORK, NY, 10087-3329 Fax (410) 883-0876 Google Maps Apple Maps OpenStreetMap
- Practice location 6776 54TH AVE N, ST PETERSBURG, FL, 33709-1405 (727) 935-0510 Fax (727) 935-0511 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Dermatology, Pediatric Dermatology 207NP0225X
- Dermatology, Procedural Dermatology 207NS0135X
- Pathology, Dermatopathology 207ZD0900X
In this directory
Locations and evidence
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Practice location
ST PETERSBURG, FL, 337091405
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.