Blatnoy, Vitaly

Blatnoy, Vitaly is an individual health care provider with primary practice located at 7560 Red Bug Lake Rd Ste 1014 , Oviedo FL 32765-6591. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Sonography, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Blatnoy, Vitaly can be contacted via phone (407) 706-1770.

Contact Information

Primary practice address
7560 Red Bug Lake Rd Ste 1014 Oviedo FL 32765-6591
Phone: (407) 706-1770
Fax: (407) 706-1777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X ME92940 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME92940 Florida

Profile Details

NPI number 1669462123
LBN Legal business name Blatnoy, Vitaly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Apr 25th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669462123 NPPES
Florida MEDICAID 001633600

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