Boudreaux, Clarence E
Boudreaux, Clarence E is an individual health care provider with primary practice located at 103 Solana Road Suite B , Ponte Vedra Beach FL 32082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Boudreaux, Clarence E can be contacted via phone (904) 273-2717.Contact Information
Primary practice address
103 Solana Road Suite B
Ponte Vedra Beach FL 32082
Phone: (904) 273-2717
Fax: (904) 273-0410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME0055674 | Florida |
Profile Details
| NPI number | 1053366211 |
|---|---|
| LBN Legal business name | Boudreaux, Clarence E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jan 15th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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