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Contact Information

BLUE OCEAN DERAMTOLOGY LLC
57 TOWN CT STE 119
PALM COAST, FL32164-2425
 Phone: 386-256-1444
 Fax: 321-400-1118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BLUE OCEAN DERAMTOLOGY LLC

NPI # 1164309605
LBN Legal business name BLUE OCEAN DERAMTOLOGY LLC
Authorized official NITRA WELCH - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/18/2025
Last updated 08/18/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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