Academic Alliance in Dermatology, Inc
NPI 1770150617 · Dermatology Physician · Plant City, FL
Academic Alliance in Dermatology, Inc is a Dermatology Physician organization in Plant City, FL (NPI 1770150617).
Provider details
- NPI number
- 1770150617
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Academic Alliance in Dermatology, Inc
- Organization subpart
- Yes
- Authorized official
- Angela Peterman, President/Owner(410) 766-0111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2022-04-22
- Certified
- 2022-04-22
Frequently asked questions
- What is Academic Alliance in Dermatology, Inc's NPI number?
- Academic Alliance in Dermatology, Inc's National Provider Identifier (NPI) is 1770150617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Academic Alliance in Dermatology, Inc?
- Academic Alliance in Dermatology, Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Academic Alliance in Dermatology, Inc located?
- Academic Alliance in Dermatology, Inc's practice location on file with NPPES is 1503 W Reynolds St, Plant City, FL 33563-4733.
- What is Academic Alliance in Dermatology, Inc's phone number?
- The practice phone number listed in the NPPES registry for Academic Alliance in Dermatology, Inc is (813) 514-4688.
- Who is the authorized official for Academic Alliance in Dermatology, Inc?
- The authorized official listed on Academic Alliance in Dermatology, Inc's NPPES record is Angela Peterman, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Academic Alliance in Dermatology, Inc's NPI active?
- Yes — Academic Alliance in Dermatology, Inc's NPI (1770150617) is active in the NPPES registry as of the last update on 2022-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.