BLUE OCEAN DERAMTOLOGY LLC – Dermatology Physician, NPI 1164309605

BLUE OCEAN DERAMTOLOGY LLC is a healthcare provider. based in Port orange, Florida. specializing in Dermatology Physician. The NPI Number for BLUE OCEAN DERAMTOLOGY LLC is 1164309605

Main info

Organization
Name
BLUE OCEAN DERAMTOLOGY LLC
NPI
1164309605
Phone
(386) 256-1444
Address
3951 S NOVA RD
Authorized Official
NITRA HOBBS WELCH OWNER
Enumeration Date
18 August 2025
Last Update Date
18 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for BLUE OCEAN DERAMTOLOGY LLC

  • 3951 S NOVA RD

    PORT ORANGE, FL 321279270

    Phone: (386) 256-1444

    Fax: (321) 400-1118

    Type: Mailing

  • 57 TOWN CT STE 119

    PALM COAST, FL 321642425

    Phone: (386) 256-1444

    Fax: (321) 400-1118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32127)

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Reviews

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Frequently asked questions

How do I look up BLUE OCEAN DERAMTOLOGY LLC by NPI?
Use NPI 1164309605 when you need to reference BLUE OCEAN DERAMTOLOGY LLC in forms, claims, or directories.
Is BLUE OCEAN DERAMTOLOGY LLC currently active in the NPI registry?
CMS-published data lists BLUE OCEAN DERAMTOLOGY LLC as an active registrant.
What field does BLUE OCEAN DERAMTOLOGY LLC work in?
You can think of BLUE OCEAN DERAMTOLOGY LLC as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BLUE OCEAN DERAMTOLOGY LLC?
The snapshot lists Port Orange, Florida for BLUE OCEAN DERAMTOLOGY LLC; download NPPES for the complete set.
How can I contact BLUE OCEAN DERAMTOLOGY LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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