OrganizationActive
Blue Ocean Dermatology LLC
NPI 1316820509 · Dermatology Physician · Okeechobee, FL
Provider details
- NPI number
- 1316820509
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blue Ocean Dermatology LLC
- Organization subpart
- Yes
- Authorized official
- Jane Holt, Credentialing(386) 256-1444
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1004 N Parrott Ave
Okeechobee, FL 34972-2110
Phone: (386) 256-1444
Fax: (321) 400-1118
Street-level locationGet directions
Mailing address
3951 S Nova Rd
Port Orange, FL 32127-9270
Registry dates
- Enumerated
- 2025-07-28
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.