Organization
ALLIANT DERMATOLOGY PA
Active
Organization
ALLIANT DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN CASPER MD (CEO AND PHYSICIAN)
(407) 883-9946
Entity
Organization
Contact information
Practice address
10946 COUNTY ROAD 100, THE VILLAGES, FL 32162-3604
(352) 399-7295
(352) 399-7294
Mailing address
10946 COUNTY ROAD 100, THE VILLAGES, FL 32162-3604
(352) 399-7295
(352) 399-7294
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 108772
FL
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QPF7T
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/07/2012
Last updated
04/17/2026
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