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ORLANDO DERMATOLOGY CENTER
NPI 1174078281
Dermatology in Oviedo, FL

Active since August 18, 2016CLIA 10D2164056 · Accreditation
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765(407) 706-1770 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2024, Feb 6, 2024, Aug 18, 2016 (3 updates tracked since 2016).

About Orlando Dermatology Center NPPES

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

ORLANDO DERMATOLOGY CENTER (NPI 1174078281) is a healthcare organization registered as a dermatology in Oviedo, Florida and active in the NPI registry since August 2016. The organization holds an CLIA Accreditation certificate valid through September 17, 2026, maintains 3 additional practice locations, and lists Vitaly Blatnoy, Owner, as its authorized official.

NPPES Registry Identity

NPI1174078281
Entity TypeOrganization
Primary Taxonomy207N00000X
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) 650-3455
Phone(407) 706-1770
Organization SubpartNo
Authorized OfficialVitaly BlatnoyOwner · (407) 706-1770
Enumeration DateAugust 18, 2016
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1174078281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X
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 1422 S Alafaya Trl Ste 26Orlando, FL 32828-8984 · Phone (407) 538-3855
Location 2731 Stirling Center PlLake Mary, FL 32746-5209 · Phone (407) 436-7375
Location 34970 S US Highway 17/92Casselberry, FL 32707-3888 · Phone (407) 635-8012

Other Identifiers 1

Medicaid001633600FL

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2164056

Dermatology And Skin Cancer Surgery Center LLC · Lake Mary, FL
Active · expires Sep 17, 2026
CLIA Number10D2164056
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Vitaly Blatnoy
Laboratory Phone(407) 436-7375
Laboratory LocationDermatology And Skin Cancer Surgery Center LLC731 Stirling Center Place #1931, Lake Mary, FL 32746
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.

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)
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770
KAROLINA BUGAJNY PA-C
Physician Assistant
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770
VANESSA ZHELYAZKOVA
Physician Assistant
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770
DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC
Otolaryngology (Plastic Surgery within the Head & Neck)
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770
MR. VITALY BLATNOY MD
Dermatology
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770
AMANDA COURTNI HULCE
Nurse Practitioner (Adult Health)
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770
MRS. CASSIE DE LOS ANGELES PA-C
Physician Assistant (Medical)
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 759-8683
JOANNA KLUGER-WESLEY
Physician Assistant
7560 RED BUG LAKE RD STE 1014
OVIEDO, FL 32765
Seminole County (407) 706-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology And Skin Cancer Surgery Center, LLC's NPI number?

The NPI number for Dermatology And Skin Cancer Surgery Center, LLC is 1174078281. It was assigned to this organization in the NPPES registry on August 18, 2016. The provider is doing business as Orlando Dermatology Center.

Where is Dermatology And Skin Cancer Surgery Center, LLC located?

Dermatology And Skin Cancer Surgery Center, LLC is located at 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765. The listed phone number is (407) 706-1770.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology And Skin Cancer Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2164056) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology And Skin Cancer Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Dermatology And Skin Cancer Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology And Skin Cancer Surgery Center, LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.