Academic Alliance in Dermatology, INC

NPI #1518534932 in Trinity, Florida

Provider Information

NPI Number: 1518534932
Entity Type: Organization
Organization Name: Academic Alliance in Dermatology, INC
Subpart: Yes (part of a larger organization)
Parent Organization: ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Primary Specialty: Dermatology
Enumeration Date: Jun 4, 2021
Last Updated: Apr 21, 2022

Practice Location

Address: 2044 TRINITY OAKS BLVD STE 130
City: Trinity
State: Florida
ZIP Code: 34655-4405
Phone: (727) 375-5961

Authorized Official

Name: ANGELA RUTH PETERMAN, MD
Title: PRESIDENT/OWNER
Phone: (410) 766-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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