EMMANUEL LAGOUTARIS DPM LLC NPI 1972994770

NPI Information

  • NPI: 1972994770
  • Provider Name: EMMANUEL LAGOUTARIS, DPM, LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 300 KINGSLEY LAKE DR
    STE. 402
    ST AUGUSTINE, FL
    ZIP 32092
  • Phone: (904) 429-9859

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NPI Details

EMMANUEL LAGOUTARIS, DPM, LLC is a foot and ankle surgery podiatrist in St Augustine, FL. EMMANUEL LAGOUTARIS, DPM, LLC NPI is 1972994770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 KINGSLEY LAKE DR
STE. 402
ST AUGUSTINE, FL
ZIP 32092-037
Phone: (904) 429-9859

The provider's authorized official is Emmanuel Lagoutaris .
The authorized official title is Owner and has the following contact phone number (904) 429-9859.

The enumeration date for this NPI number is 2/15/2015 and was last updated on 12/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPO3053FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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