DR. EFSTRATIOS DEMETRIOS LAGOUTARIS (NPI# 1194717595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194717595 |
| Entity Type | Individual |
| Full Name | DR. EFSTRATIOS DEMETRIOS LAGOUTARIS |
| Credential | DPM |
| Practice Address |
1361 13th Ave S Ste 12 Jacksonville Beach FL 32250 |
| Mailing Address |
2140 Kingsley Ave Ste 12 Orange Park FL 32073-5129 |
| Practice Telephone | 9042412655 |
| Practice Fax Number | 9042492425 |
| Mailing Telephone | 9042242001 |
| Mailing Fax Number | 9042242002 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO2989 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270008501 | 05 | |
| BCBS | 21698L | 01 | |
| PALMETTO GBA | DR7381 | 01 |
| Street Address |
1361 13TH AVE S STE 12 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949746 | Thomas Carens Hilton | Internal Medicine | 1361 13th Ave S, Ste 270, Jacksonville Beach, FL 32250 | 2005-08-15 |
| 1336511690 | Physicians Group Services, Pa | Pain Medicine | 1361 13th Ave S, Unit 250, Jacksonville Beach, FL 32250-3233 | 2015-10-27 |
| 1649672866 | Alesha Wilson | Nurse Practitioner | 1361 13th Ave S, Jacksonville Beach, FL 32250-3233 | 2014-09-18 |
| 1730590217 | Valerie Brink Lmhc Pa | Counselor | 1361 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3233 | 2014-05-18 |
| 1134548167 | Ashley Saliba Hill | Physician Assistant | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2014-04-07 |
| 1598015133 | Nagula & Associates, Pllc | Physical Medicine & Rehabilitation | 1361 13th Ave S, Suite 140, Jacksonville Beach, FL 32250-3233 | 2012-09-11 |
| 1326311465 | Baptist Cardiology, Inc. | Internal Medicine | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2012-02-21 |
| 1912138512 | Hazeline Katherine Mccabe | Physician Assistant | 1361 13th Ave S, Ste 150, Jacksonville Beach, FL 32250-3233 | 2009-07-30 |
| 1538395116 | Michael William Riesmeyer | Massage Therapist | 1361 13th Ave S, Suite 210, Jacksonville Beach, FL 32250-3233 | 2009-06-09 |
| 1558509596 | Neurology Associates of North Florida Diagnostics,inc. | Legal Medicine | 1361 13th Ave S, Ste 170a, Jacksonville Beach, FL 32250-3233 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326389537 | Physicians Group Services Pa | Podiatrist | 14011 Beach Blvd, Suite 220, Jacksonville Beach, FL 32250-1507 | 2013-03-13 |
| 1477814176 | Adler Podiatry Clinic Pllc | Podiatrist | 320 1st St N, Suite 709, Jacksonville Beach, FL 32250-6944 | 2012-05-30 |
| 1922370618 | Adler Podiatry Clinic Pllc | Podiatrist | 3316 3rd St S, Ste 201, Jacksonville Beach, FL 32250-6073 | 2012-01-27 |
| 1154437184 | Linda Louise Alexander | Podiatrist | 1361 13th Ave S Ste 120, Jacksonville Beach, FL 32250-3260 | 2006-08-22 |
| 1992723647 | Timothy Martin Syperek | Podiatrist | 14011 Beach Blvd, Suite 220, Jacksonville Beach, FL 32250-1694 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. EFSTRATIOS DEMETRIOS LAGOUTARIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.