Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaches Dermatology, PA

Organization Specialist · NPI 1780627521

Beaches Dermatology, PA is a Specialist in Ponte Vedra Beach, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231
Phone: (904) 273-2717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 791 Amelia Island Pkwy, Fernandina Beach, FL 32034-9126 — (904) 261-7500
  • 614 E Twincourt Trl, Saint Augustine, FL 32095-9090 — (904) 808-7107

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 207N00000X (FL)

Record details

NPI number1780627521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarence Boudreaux — President · (904) 273-2717
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address103 Solana Rd, Suite B, Ponte Vedra Beach, FL 32082-2231

Other providers in Ponte Vedra Beach