Organization · Type 2 NPI
Flagler Family Medicine PA
Foot & Ankle Surgery Podiatrist · St. Augustine, FL
NPI number
1821406679
Active
Practice location
315 W Town Pl Ste 1
St. Augustine, FL 32092-3105
Fax (904) 679-3169
Mailing address
130 Health Park Blvd
St. Augustine, FL 32086-5776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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- Emmanuel Lagoutaris, Dpm, LLCFoot & Ankle Surgery Podiatrist St. Augustine, FL NPI 1972994770
About NPI 1821406679
Flagler Family Medicine PA's National Provider Identifier is 1821406679, issued on Jul 24, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 28, 2020.