Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Vitaly Blatnoy, MD

Individual provider Sonography Radiologic Technologist · NPI 1669462123

Mr. Vitaly Blatnoy, MD is a Dermatology in Oviedo, Florida. Qualified in 1995, 31 years ago. Practices with Dermatology and Skin Cancer Surgery Center, LLC, a 10-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7560 Red Bug Lake Rd Ste 1014
Oviedo, FL 32765-6591
Phone: (407) 706-1770
Fax: (407) 706-1777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4970 S Us Highway 17/92, Casselberry, FL 32707-3888 — (407) 635-8012
  • 731 Strling Ctr Pl Unit 1931, Lake Mary, FL 32746-5209 — (407) 436-7375
  • 422 S Alafaya Trl Ste 26, Orlando, FL 32828-8984 — (407) 538-3855

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME92940 (FL)
Sonography Radiologic Technologist Taxonomy 2471S1302X · Licence ME92940 (FL)

Record details

NPI number1669462123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Dermatology And Skin Cancer Surgery Center, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oviedo