ORLANDO DERMATOLOGY CENTER – NPI #1174078281
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

ORLANDO DERMATOLOGY CENTER is a dermatologist located in OVIEDO, FL. NPPES has assigned the NPI number 1174078281 to ORLANDO DERMATOLOGY CENTER on August 18, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ORLANDO DERMATOLOGY CENTER” is a dba name, the actual legal business name for this organization is DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Jul 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORLANDO DERMATOLOGY CENTER below.

NPI Profile for
DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC

NPI Number
1174078281
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC
Doing Business As (dba): ORLANDO DERMATOLOGY CENTER
Primary location
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765-6591
Phone: (407) 706-1770 Fax:
3 Other location(s):
4970 S US Highway 17/92
Casselberry, FL 32707-3888
Phone: (407) 635-8012
731 Stirling Center Pl
Lake Mary, FL 32746-5209
Phone: (407) 436-7375
422 S Alafaya Trl Ste 26
Orlando, FL 32828-8984
Phone: (407) 538-3855
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VITALY BLATNOY
OWNER
Phone: (407) 706-1770
Updated
Certification Date
Jul 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ORLANDO DERMATOLOGY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL001633600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.