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

Dr. Clarence E Boudreaux, MD

Individual provider Dermatology Physician · NPI 1053366211

Dr. Clarence E Boudreaux, MD is a Dermatology in Ponte Vedra Beach, Florida. Graduated from Louisiana State University School of Medicine in New Orleans in 1985, 41 years ago. Practices with Beaches Dermatology, PA, a 15-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
41
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082
Phone: (904) 273-2717
Fax: (904) 273-0410
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME0055674 (FL)

Record details

NPI number1053366211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESJanuary 15, 2010
Mailing address103 Solana Road Suite B, Ponte Vedra Beach, FL 32082

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1985 (41 years in practice)
Group practice Beaches Dermatology, P.A. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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