Organization
BLUE OCEAN DERAMTOLOGY LLC
Active
Parent organization
BLUE OCEAN DERAMTOLOGY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE OCEAN DERAMTOLOGY LLC
Authorized official
NITRA HOBBS WELCH (OWNER)
(386) 256-1444
Entity
Organization
Contact information
Practice address
57 TOWN CT STE 119, PALM COAST, FL 32164-2425
(386) 256-1444
(321) 400-1118
Mailing address
3951 S NOVA RD, PORT ORANGE, FL 32127-9270
(386) 256-1444
(321) 400-1118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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