Organization
DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC
Active
Other names
Orlando Dermatology Center
Organization subpart
No
Provider details
NPI number
Authorized official
VITALY BLATNOY MD (MEDICAL DIRECTOR)
(407) 446-8312
Entity
Organization
Contact information
Practice address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 706-1770
(407) 706-1777
Mailing address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 706-1770
(407) 706-1777
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
12/11/2024
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