NPI 1164309605

Blue Ocean Deramtology LLC

Organisation Dermatology Physician Palm Coast, FL

Practice location

Address: 57 Town CT STE 119, Palm Coast, FL 32164-2425
Phone: (386) 256-1444
Fax: (321) 400-1118
Mailing address: 3951 S Nova Rd, Port Orange, FL 32127-9270

Authorised official

Name: Nitra Hobbs Welch
Title: Owner
Phone: (386) 256-1444

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

Registry record

NPI: 1164309605
Entity type: Organization
NPI issued: 18 Aug 2025
Record last updated: 18 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.