Individual provider · Type 1 NPI
Emmanuel D. Lagoutaris, DPM
Primary Podiatric Medicine Podiatrist · Jacksonville, FL
NPI number
1932180676
Active
Practice location
6209 Brooks Bartram Dr
Jacksonville, FL 32258-5601
Mailing address
2220 County Road 210 W, Ste 108, Pmb 355
Jacksonville, FL 32259-4060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | PO3053 (FL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
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About NPI 1932180676
Emmanuel D. Lagoutaris, DPM's National Provider Identifier is 1932180676, issued on Nov 9, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 3, 2024.