Organization
DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC
Active
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 (OWNER)
(407) 706-1770
Entity
Organization
Contact information
Practice address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 706-1770
Mailing address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 706-1770
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001633600
—
FL
Enumeration date
08/18/2016
Last updated
07/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up