Blue Ocean Dermatology LLC
NPI 1992045272 · Dermatology Physician · Port Orange, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Ocean Dermatology LLC is a Dermatology Physician organization in Port Orange, FL (NPI 1992045272).
Provider details
- NPI number
- 1992045272
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nitra Welch, Cfo(386) 256-1444
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 1004 N Parrott AveOkeechobee, FL 34972-2110Phone: (863) 226-5466Fax: (321) 400-1118
- 1840 Greenwich AveWinter Park, FL 32789-4012Phone: (407) 644-4212Fax: (321) 400-1118
Registry dates
- Enumerated
- 2013-02-22
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Blue Ocean Dermatology LLC's NPI number?
- Blue Ocean Dermatology LLC's National Provider Identifier (NPI) is 1992045272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ocean Dermatology LLC?
- Blue Ocean Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Ocean Dermatology LLC located?
- Blue Ocean Dermatology LLC's practice location on file with NPPES is 3951 S Nova Rd, Port Orange, FL 32127.
- What is Blue Ocean Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Ocean Dermatology LLC is (386) 256-1444.
- Does Blue Ocean Dermatology LLC accept Medicare?
- Blue Ocean Dermatology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Ocean Dermatology LLC?
- The authorized official listed on Blue Ocean Dermatology LLC's NPPES record is Nitra Welch, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ocean Dermatology LLC's NPI active?
- Yes — Blue Ocean Dermatology LLC's NPI (1992045272) is active in the NPPES registry as of the last update on 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.