EMMANUEL LAGOUTARIS, DPM, LLC (NPI# 1972994770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972994770 |
| Entity Type | Organization |
| Organization Name | EMMANUEL LAGOUTARIS, DPM, LLC |
| Practice Address |
300 Kingsley Lake Dr Ste. 402 St Augustine FL 32092-3037 |
| Practice Telephone | 9044299859 |
| Mailing Telephone | 9044299859 |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2016-12-23 |
| Authorized Official Name | DR. EMMANUEL LAGOUTARIS (OWNER) |
| Authorized Official Telephone | 9044299859 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3053 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
300 KINGSLEY LAKE DR STE. 402 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180676 | Emmanuel D Lagoutaris | Podiatrist | 300 Kingsley Lake Dr, Ste. 402, St Augustine, FL 32092-3037 | 2005-11-09 |
| 1942611421 | Eugene J. Rankin, Ph.d., Abpp | Psychologist | 300 Kingsley Lake Dr, Suite 403, St Augustine, FL 32092-3037 | 2014-05-18 |
| 1831108646 | Fleming Island Foot and Ankle Center LLC | Podiatrist | 300 Kingsley Lake Dr, Ste. 402, St Augustine, FL 32092-3037 | 2006-08-08 |
| 1104870930 | Eugene Joseph Rankin | Clinical Neuropsychologist | 300 Kingsley Lake Dr, Ste 401, St Augustine, FL 32092-3037 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659587897 | Thomas Anthony Lebeau | Podiatrist | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2007-05-15 |
| 1578576179 | Rosana Rodriguez | Podiatrist | 6 Saint Johns Medical Park Dr, St Augustine, FL 32086-4233 | 2006-08-14 |
| 1841237864 | John A Cunningham | Podiatrist | 3829 Paddington Pl, St Augustine, FL 32092-3660 | 2006-05-31 |
| 1376887661 | Hany M Jeffry | Podiatrist | 6 Saint Johns Medical Park Dr, St Augustine, FL 32086-5298 | 2012-11-27 |
| 1972834760 | Coastal Foot & Ankle Wellness Center LLC | Podiatrist | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 2010-01-19 |
| 1649409756 | St. Augustine Foot & Ankle, Inc | Podiatrist | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2009-07-09 |
| 1730354523 | Community Podiatry & Wound Care Pa | Podiatrist | 6 Saint Johns Medical Park Dr, St Augustine, FL 32086-4233 | 2008-04-23 |
| 1033195979 | Ryan J Pereira | Podiatrist | 1301 Plantation Island Dr S, Ste 203, St Augustine, FL 32080-3108 | 2005-12-22 |
| 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 | ST AUGUSTINE |
| Zip Code | 32092 |
Please comment or provide details below to improve the information on EMMANUEL LAGOUTARIS, DPM, LLC.
| 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.