Provider Type Icon

ACADEMIC ALLIANCE IN DERMATOLOGY NPI 1679857452


NPI Information

NPI: 1679857452
Provider Name: ACADEMIC ALLIANCE IN DERMATOLOGY
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 10D1037280

Address:
4238 W KENNEDY BLVD
TAMPA, FL
ZIP 33609
Phone: (813) 879-6040
Get Directions

ACADEMIC ALLIANCE IN DERMATOLOGY is a non pharmacy dispensing site in Tampa, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ACADEMIC ALLIANCE IN DERMATOLOGY NPI is 1679857452. The provider is registered as an organization entity type.

The provider's business location address is:

4238 W KENNEDY BLVD
TAMPA, FL
ZIP 33609-231
Phone: (813) 879-6040
Fax: (813) 897-6049

The provider's authorized official is Tim Scism .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (813) 884-3091.

The CLIA number assigned to this NPI record is 10D1037280 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 8/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.