Lagoutaris, Efstratios Demetrios

Lagoutaris, Efstratios Demetrios is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 12, Jacksonville Beach FL 32250. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lagoutaris, Efstratios Demetrios can be contacted via phone (904) 241-2655.

Contact Information

Primary practice address
1361 13Th Ave S Ste 12 Jacksonville Beach FL 32250
Phone: (904) 241-2655
Fax: (904) 249-2425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2989 Florida

Profile Details

NPI number 1194717595
LBN Legal business name Lagoutaris, Efstratios Demetrios
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Feb 20th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194717595 NPPES
Florida MEDICAID 270008501
Florida Other DR7381
Florida Other 21698L

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