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BLUE OCEAN DERAMTOLOGY LLC
NPI 1164309605
Dermatology in Palm Coast, FL

Active since August 18, 2025CLIA Certified · 4 labs
57 TOWN CT STE 119, PALM COAST, FL 32164(386) 256-1444(321) 400-1118 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Ocean Deramtology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE OCEAN DERAMTOLOGY LLC (NPI 1164309605) is a healthcare organization registered as a dermatology in Palm Coast, Florida and active in the NPI registry since August 2025. The organization holds 4 active CLIA laboratory certificates and lists Nitra Hobbs Welch, Owner, as its authorized official.

NPPES Registry Identity

NPI1164309605
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE OCEAN DERAMTOLOGY LLC
Location Address57 TOWN CT STE 119Palm Coast, FL 32164-2425
Mailing Address3951 S Nova RdPort Orange, FL 32127-9270 · (386) 256-1444 · Fax (321) 400-1118
Phone(386) 256-1444
Fax(321) 400-1118
Organization SubpartYes
Authorized OfficialNitra Hobbs WelchOwner · (386) 256-1444
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1164309605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
57 TOWN CT STE 119, Palm Coast, FL 32164
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2066545

Blue Ocean Dermatology LLC · Port Orange, FL
Active · expires Feb 5, 2028
CLIA Number10D2066545
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorSeema Apichai
Laboratory Phone(386) 256-1444
Laboratory LocationBlue Ocean Dermatology LLC3951 S Nova Rd Ste 3, Port Orange, FL 32127
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2314843

Blue Ocean Dermatology LLC · Palm Coast, FL
Active · expires Apr 24, 2027
CLIA Number10D2314843
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorNicole Nagrani
Laboratory Phone(386) 256-1444
Laboratory LocationBlue Ocean Dermatology LLC57 Town Court Ste 119, Palm Coast, FL 32164
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2215289

Blue Ocean Dermatology LLC · Okeechobee, FL
Active · expires Jan 2, 2028
CLIA Number10D2215289
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorNicole Nagrani
Laboratory Phone(386) 256-1444
Laboratory LocationBlue Ocean Dermatology LLC1004 N Parrott Ave, Okeechobee, FL 34972
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2149326

Blue Ocean Dermatology LLC · Winter Park, FL
Active · expires Feb 26, 2027
CLIA Number10D2149326
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorNicole Nagrani
Laboratory Phone(386) 256-1444
Laboratory LocationBlue Ocean Dermatology LLC1840 Greenwich Ave, Winter Park, FL 32789
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ocean Deramtology LLC's NPI number?

The NPI number for Blue Ocean Deramtology LLC is 1164309605. It was assigned to this organization in the NPPES registry on August 18, 2025.

Where is Blue Ocean Deramtology LLC located?

Blue Ocean Deramtology LLC is located at 57 Town Ct Ste 119, Palm Coast, FL 32164. The listed phone number is (386) 256-1444.

What is Blue Ocean Deramtology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Blue Ocean Deramtology LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Blue Ocean Deramtology LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.