NPI
Academic Alliance in Dermatology, PLLC
NPI 1770150617
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2021-06-09
- Last updated
- 2026-09-14
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1503 W Reynolds St
- City
- Plant City FL
- Postal code
- 33563-4733
- Phone
- (813) 514-4688
Organization contact
- Name
- Nicole Proffitt
- Title
- Director of Enrollment & Credential
- Phone
- (804) 869-6269
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Plant City, FL. 1,030 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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