Lagoutaris, John Demetrios

Lagoutaris, John Demetrios is an individual health care provider with primary practice located at 300 Kingsley Lake Dr Ste. 402, Saint Augustine FL 32092-3037. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Lagoutaris, John Demetrios can be contacted via phone (904) 826-1375.

Contact Information

Primary practice address
300 Kingsley Lake Dr Ste. 402 Saint Augustine FL 32092-3037
Phone: (904) 826-1375
Fax: (904) 779-4964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO 3240 Florida

Profile Details

NPI number 1780690867
LBN Legal business name Lagoutaris, John Demetrios
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 10th, 2015 - about 9 years 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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