Individual provider · Type 1 NPI

Blake William Boudreaux, MD

Dermatology Physician · Ponte Vedra Beach, FL

NPI number 1689203341 Active

Practice location

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231

Call (904) 273-2717 Map

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XME173977 (FL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

5 other providers at this address

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About NPI 1689203341

Blake William Boudreaux, MD's National Provider Identifier is 1689203341, issued on Apr 5, 2020. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Jul 2, 2026.