NPI | 1134617533 |
---|---|
Doing Business As | ORLANDO DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | VITALY BLATNOY Medical Director 407-446-8312 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2018-05-01 |
Last Update Date | 2024-12-11 |