Dermatology and Skin Cancer Surgery Center, LLC
NPI 1174078281 · Dermatology Physician · Oviedo, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1174078281
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vitaly Blatnoy, Owner(407) 706-1770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Orlando Dermatology Center
Additional practice locations (3)
- 4970 S US Highway 17/92Casselberry, FL 32707-3888Phone: (407) 635-8012
- 731 Stirling Center PlLake Mary, FL 32746-5209Phone: (407) 436-7375
- 422 S Alafaya Trl Ste 26Orlando, FL 32828-8984Phone: (407) 538-3855
Registry dates
- Enumerated
- 2016-08-18
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.