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Search › Florida › 207P00000X

Shannon Boudreaux, MD

NPI 1245285824 · on the registry since 2006 · sole proprietor

Practice

Address
1 Bubba Watson Drive
Pensacola, FL 32504
Phone
(850) 416-7000
Organisation at this address
Cep America Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 1501 W Nine Mile Rd, Pensacola, FL
  • 7334 Navarre Pkwy, Navarre, FL
  • 5151 N 9th Ave, Pensacola, FL
  • 1 Bubba Watson Drive, Pensacola, FL

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
208000000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-22

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