OrganizationActive
Academic Alliance in Dermatology, Inc
NPI 1811564750 · Dermatology Physician · Largo, FL
Provider details
- NPI number
- 1811564750
- 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
Practice location
1260 W Bay Dr Ste Candf
Largo, FL 33770-2284
Phone: (727) 935-0500
Fax: (727) 935-0501
Approximate (ZIP-level) locationGet directions
Mailing address
5210 Webb Rd
Tampa, FL 33615-4518
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.