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Edit this profileBased 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. NPI 1689203341 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
103 SOLANA RD STE B
Ponte Vedra Beach, FL 32082
791 Amelia Island Pkwy
Fernandina Beach, FL 32034
614 E Twincourt Trl
Saint Augustine, FL 32095
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
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
The number on file is (904) 273-2717. Contact the office directly to confirm availability and scheduling.
NPI registry
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
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
Dr. Boudreaux has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
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
Guide.md listings do not constitute medical advice or an endorsement.
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