Individual provider · Type 1 NPI

Efstratios Demetrios Lagoutaris, DPM

Foot & Ankle Surgery Podiatrist · Jacksonville Beach, FL

NPI number 1194717595 Active

Practice location

1361 13th Ave S, Ste 12
Jacksonville Beach, FL 32250

Fax (904) 249-2425

Mailing address

5911 Timuquana Rd Unit 300
Jacksonville, FL 32210-7897

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO2989 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1194717595

Efstratios Demetrios Lagoutaris, DPM's National Provider Identifier is 1194717595, issued on Aug 22, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Feb 20, 2024.