Individual
DR. KONSTANTIN AGARUNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 896-4615
(727) 256-3855
Mailing address
8353 SW 124TH ST STE 206, MIAMI, FL 33156-5847
(718) 664-7482
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101900200
FL MEDICAID
FL
01
—
PO3990
FLORIDA STATE LICENSE
FL
Enumeration date
06/26/2014
Last updated
03/10/2025
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