ORLANDO DERMATOLOGY CENTER – NPI #1134617533
Otolaryngology

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

ORLANDO DERMATOLOGY CENTER is an otolaryngologist located in OVIEDO, FL. NPPES has assigned the NPI number 1134617533 to ORLANDO DERMATOLOGY CENTER on May 01, 2018. 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 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck

The NPI profile was last updated on Dec 11, 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
1134617533
Enumeration Date

(more than 8 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: (407) 706-1777
3 Other location(s):
4970 S US Highway 17/92
Casselberry, FL 32707-3888
Phone: (407) 635-8012
Fax: (407) 706-1777
731 Strling Ctr Pl Unit 1931
Lake Mary, FL 32746-5209
Phone: (407) 436-7380
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
MEDICAL DIRECTOR
Phone: (407) 446-8312
Updated
Certification Date
Dec 11, 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.

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.

Taxonomy Classification / Specialization State License
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck (Primary)
207N00000X
- Dermatology

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.