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Emmanuel Lagoutaris, Dpm, Llc
Foot & Ankle Surgery Podiatrist in St Augustine, Florida
NPI 1972994770

Emmanuel Lagoutaris, Dpm, Llc is a Foot & Ankle Surgery Podiatrist based in St Augustine, FL and is specialized in Foot & Ankle Surgery. Emmanuel Lagoutaris, Dpm, Llc practices in St Augustine, FL. The NPI Number for Emmanuel Lagoutaris, Dpm, Llc is 1972994770 and holds a License No. PO3053 (Florida).

The current practice location address for Emmanuel Lagoutaris, Dpm, Llc is 300 Kingsley Lake Dr, St Augustine, FL and can be reached out via phone at 904-429-9859.

Location: 300 Kingsley Lake Dr, St Augustine, FL, 32092-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972994770
Provider Name
Emmanuel Lagoutaris, Dpm, Llc
Credential
Provider Entity Type
Organization
Address
300 Kingsley Lake Dr, St Augustine, FL, 32092-3037
Phone Number
904-429-9859
Fax Number
Provider Enumeration Date
02/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Kingsley Lake Dr
City
St Augustine
State
Florida
Zip
32092-3037
Phone Number
904-429-9859
Fax Number
person
Provider Business Mailing Address Details
Address
300 Kingsley Lake Dr
City
St Augustine
State
Florida
Zip
32092-3037
Phone Number
904-429-9859
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO3053 (Florida)
Definition
Definition to come...
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