Organization
BLUE OCEAN DERMATOLOGY LLC
Active
Organization
BLUE OCEAN DERMATOLOGY LLC
Active
Parent organization
BLUE OCEAN DERMATOLOGY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE OCEAN DERMATOLOGY LLC
Authorized official
JANE MARIE HOLT (CREDENTIALING)
(386) 256-1444
Entity
Organization
Contact information
Practice address
1004 N PARROTT AVE, OKEECHOBEE, FL 34972-2110
(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
07/28/2025
Last updated
08/18/2025
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