Physician Profile
Blake W. Boudreaux, MD
Unclaimed ProfileAbout Dr. Boudreaux
Based in Ponte Vedra Beach, FL, Blake W. Boudreaux, MD is listed in the NPI registry under dermatology. Blake graduated from Louisiana State University School of Medicine in Shreveport in 2021.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (904) 273-2717
- Email not available
Practice Locations
103 SOLANA RD STE B
Ponte Vedra Beach, FL 32082
614 E Twincourt Trl
St Augustine, FL 32095
791 Amelia Island Pkwy
Fernandina Beach, FL 32034
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other dermatologists at this location 4
Same specialty, same street address — most likely the same department or group.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 15 related providers in 2 groups
Trained at Louisiana State University School of Medicine in Shreveport 8
Other providers in the same specialty who trained at the same institution.
Class of 2021 at Louisiana State University School of Medicine in Shreveport 7
Providers who graduated from the same medical school in the same year.
Common questions
What does Dr. Boudreaux specialize in?
Dr. Boudreaux is a dermatologist (skin doctor) in Ponte Vedra Beach, FL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.
NPI registry
Where is Dr. Boudreaux located?
Dr. Boudreaux is listed at 103 Solana Rd Ste B, Ponte Vedra Beach, FL 32082. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Dr. Boudreaux's phone number?
The number on file is (904) 273-2717. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Dr. Boudreaux?
Dr. Boudreaux's National Provider Identifier is 1689203341. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Boudreaux go to medical school?
Dr. Boudreaux attended Louisiana State University School of Medicine in Shreveport, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Dr. Boudreaux have?
Dr. Boudreaux has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
Is Dr. Boudreaux's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Boudreaux. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.