Organization
ACADEMIC ALLIANCE IN DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM SCISM (VP OF REVENUE CYCLE MANAGEMENT)
(813) 884-3091
Entity
Organization
Contact information
Practice address
4238 W KENNEDY BLVD, TAMPA, FL 33609-2231
(813) 879-6040
(813) 897-6049
Mailing address
4238 W KENNEDY BLVD, TAMPA, FL 33609-2231
(813) 879-6060
(813) 879-3049
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
FL
Other
Enumeration date
09/28/2011
Last updated
08/30/2019
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