Blue Ocean Dermatology Llc
LBN: Blue Ocean Dermatology Llc
Blue Ocean Dermatology Llc is an health care organization with primary practice located at 3951 S Nova Rd Suite 3, Port Orange FL 32127. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Blue Ocean Dermatology Llc can be contacted via phone (386) 256-1444, or through Welch, Nitra H via phone (386) 256-1444.
Contact Information
Primary practice address
3951 S Nova Rd Suite 3
Port Orange FL 32127
Phone: (386) 256-1444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X |
Profile Details
| NPI number | 1992045272 |
|---|---|
| LBN Legal business name | Blue Ocean Dermatology Llc |
| DBA Doing business as | |
| Authorized official | Welch, Nitra H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2013 |
| Last updated | Aug 13th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992045272 | NPPES |
| Florida | MEDICAID | 008597300 |
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