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Contact Information

EFSTRATIOS D LAGOUTARIS, DPM
1361 13TH AVE S
STE 12
JACKSONVILLE BEACH, FL32250
 Phone: 904-241-2655
 Fax: 904-249-2425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EFSTRATIOS D LAGOUTARIS · (Male)

NPI # 1194717595
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/22/2005
Last updated 02/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO2989
  • FL Medicaid 270008501
  • Other 21698L BCBS
  • Other DR7381 PALMETTO GBA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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