Lagoutaris, Emmanuel D

Lagoutaris, Emmanuel D is an individual health care provider with primary practice located at 6209 Brooks Bartram Dr , Jacksonville FL 32258-5601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Lagoutaris, Emmanuel D can be contacted via phone (904) 534-9752.

Contact Information

Primary practice address
6209 Brooks Bartram Dr Jacksonville FL 32258-5601
Phone: (904) 534-9752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO3053 Florida

Profile Details

NPI number 1932180676
LBN Legal business name Lagoutaris, Emmanuel D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 3rd, 2024 - about last year

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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