BLUE OCEAN DERMATOLOGY LLC – Dermatology Physician, NPI 1316820509

BLUE OCEAN DERMATOLOGY LLC is a healthcare provider. based in Port orange, Florida. specializing in Dermatology Physician. The NPI Number for BLUE OCEAN DERMATOLOGY LLC is 1316820509

Main info

Organization
Name
BLUE OCEAN DERMATOLOGY LLC
NPI
1316820509
Phone
(386) 256-1444
Address
3951 S NOVA RD
Authorized Official
JANE MARIE HOLT CREDENTIALING
Enumeration Date
28 July 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 DERMATOLOGY LLC

  • 3951 S NOVA RD

    PORT ORANGE, FL 321279270

    Phone: (386) 256-1444

    Fax: (321) 400-1118

    Type: Mailing

  • 1004 N PARROTT AVE

    OKEECHOBEE, FL 349722110

    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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Frequently asked questions

Is there an official ID for BLUE OCEAN DERMATOLOGY LLC in U.S. healthcare records?
The official identifier for BLUE OCEAN DERMATOLOGY LLC is NPI 1316820509.
Is there an active status for BLUE OCEAN DERMATOLOGY LLC?
For scheduling context, BLUE OCEAN DERMATOLOGY LLC is shown as active in the registry.
How would a patient describe BLUE OCEAN DERMATOLOGY LLC's focus?
For BLUE OCEAN DERMATOLOGY LLC, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is BLUE OCEAN DERMATOLOGY LLC registered?
Use Port Orange, Florida as the headline location for BLUE OCEAN DERMATOLOGY LLC here.
Does BLUE OCEAN DERMATOLOGY LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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