ORLANDO DERMATOLOGY CENTER
NPI 1134617533
Otolaryngology - Plastic Surgery within the Head & Neck in Oviedo, FL

Q: What is Dermatology And Skin Cancer Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Active since May 01, 2018CLIA Certified · 3 labs

7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765(407) 706-1770(407) 706-1777 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2024, May 4, 2018 (2 updates tracked since 2018).

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About Orlando Dermatology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORLANDO DERMATOLOGY CENTER (NPI 1134617533) is a healthcare organization registered as a plastic surgery within the head & neck in Oviedo, Florida and active in the NPI registry since May 2018. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Vitaly Blatnoy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1134617533

Entity TypeOrganization

Primary Taxonomy207YX0007X

Legal Business NameDERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC

Location Address7560 RED BUG LAKE RD STE 1014Oviedo, FL 32765-6591

Mailing Address7560 Red Bug Lake Rd Ste 1014Oviedo, FL 32765-6591 · (407) 706-1770 · Fax (407) 706-1777

Phone(407) 706-1770

Fax(407) 706-1777

Organization SubpartNo

Authorized OfficialVitaly BlatnoyMedical Director · (407) 446-8312

Enumeration DateMay 1, 2018

Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1134617533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

Definition

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.

Also ListedDermatologyTaxonomy 207N00000X

7560 RED BUG LAKE RD STE 1014, Oviedo, FL 32765

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Other Names 1

Doing Business AsOrlando Dermatology Center

Secondary Practice Locations 3

Location 1731 Strling Ctr Pl Unit 1931Lake Mary, FL 32746-5209 · Phone (407) 436-7380

Location 24970 S US Highway 17/92Casselberry, FL 32707-3888 · Phone (407) 635-8012 · Fax (407) 706-1777

Location 3422 S Alafaya Trl Ste 26Orlando, FL 32828-8984 · Phone (407) 538-3855

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D1076739

Dermatology And Skin Cancer Surgery Center LLC · Oviedo, FL

Active · expires Jun 23, 2028

CLIA Number10D1076739

Laboratory TypePhysician Office

Certificate Effective DateJune 24, 2026

Certificate Expiration DateJune 23, 2028

Laboratory DirectorDr. Vitaly Blatnoy

Laboratory Phone(407) 706-1770

Laboratory LocationDermatology And Skin Cancer Surgery Center LLC7560 Red Bug Lake Rd, Ste 1014, Oviedo, FL 32765

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2300847

Dermatology And Skin Cancer Surgery Center LLC · Casselberry, FL

Active · expires Mar 17, 2028

CLIA Number10D2300847

Laboratory TypePhysician Office

Certificate Effective DateMarch 18, 2026

Certificate Expiration DateMarch 17, 2028

Laboratory DirectorVitaly Blatnoy

Laboratory Phone(407) 706-1770

Laboratory LocationDermatology And Skin Cancer Surgery Center LLC4970 S Us 17-92, Casselberry, FL 32707

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D2102880

Dermatology And Skin Cancer Surgery Center LLC · Orlando, FL

Active · expires Jan 18, 2028

CLIA Number10D2102880

Laboratory TypePhysician Office

Certificate Effective DateJanuary 19, 2026

Certificate Expiration DateJanuary 18, 2028

Laboratory DirectorDr. Vitaly Blatnoy

Laboratory Phone(407) 538-3855

Laboratory LocationDermatology And Skin Cancer Surgery Center LLC422 S Alafaya Str #26, Orlando, FL 32828

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKHAIL VAYSBERG DO

Otolaryngology (Plastic Surgery within the Head & Neck)