Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ocean Deramtology LLC

Organization Dermatology Physician · NPI 1164309605

Blue Ocean Deramtology LLC provides Dermatology Physician services in Palm Coast, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 Town Ct Ste 119
Palm Coast, FL 32164-2425
Phone: (386) 256-1444
Fax: (321) 400-1118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1164309605
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlue Ocean Deramtology LLC
Authorized official Nitra Welch — Owner · (386) 256-1444
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address3951 S Nova Rd, Port Orange, FL 32127-9270

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