Organization
ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Active
Parent organization
ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Other names
Academic Alliance in Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Authorized official
ANGELA RUTH PETERMAN MD (PRESIDENT/OWNER)
(410) 766-0111
Entity
Organization
Contact information
Practice address
5210 WEBB RD, TAMPA, FL 33615-4518
(813) 882-9986
(813) 882-9849
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM HEIGHTS, MD 21090-1033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113329600
—
FL
Enumeration date
05/11/2006
Last updated
12/31/2024
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