{"result_count":1,"results":[{"addresses":[{"address_1":"3951 S NOVA RD","address_2":"SUITE 3","address_purpose":"LOCATION","address_type":"DOM","city":"PORT ORANGE","country_code":"US","country_name":"United States","postal_code":"32127","state":"FL","telephone_number":"386-256-1444"},{"address_1":"3951 S NOVA RD","address_2":"SUITE 3","address_purpose":"MAILING","address_type":"DOM","city":"PORT ORANGE","country_code":"US","country_name":"United States","postal_code":"321279270","state":"FL","telephone_number":"386-256-1444"}],"basic":{"authorized_official_first_name":"NITRA","authorized_official_last_name":"WELCH","authorized_official_middle_name":"H","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"3862561444","authorized_official_title_or_position":"CFO","certification_date":"2025-08-18","enumeration_date":"2013-02-22","last_updated":"2025-08-18","organization_name":"BLUE OCEAN DERMATOLOGY LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1361554707000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"008597300","issuer":null,"state":"FL"}],"last_updated_epoch":"1755530752000","number":"1992045272","other_names":[],"practiceLocations":[{"address_1":"1840 GREENWICH AVE","address_purpose":"LOCATION","address_type":"DOM","city":"WINTER PARK","country_code":"US","country_name":"United States","fax_number":"321-400-1118","postal_code":"327894012","state":"FL","telephone_number":"407-644-4212"},{"address_1":"1004 N PARROTT AVE","address_purpose":"LOCATION","address_type":"DOM","city":"OKEECHOBEE","country_code":"US","country_name":"United States","fax_number":"321-400-1118","postal_code":"349722110","state":"FL","telephone_number":"863-226-5466"}],"taxonomies":[{"code":"207ND0900X","desc":"Dermatology, Dermatopathology","license":null,"primary":false,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"},{"code":"207N00000X","desc":"Dermatology","license":null,"primary":true,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"}]}]}