Clarence Boudreaux, M.D

NPI 1053366211 · on the registry since 2006

Practice

Address: 103 Solana Road Suite B
Ponte Vedra Beach, FL 32082
Phone: (904) 273-2717
Fax: (904) 273-0410
Organisation at this address: Beaches Dermatology, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 207N00000X
207N00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida