Individual
DR. JOHN DEMETRIOS LAGOUTARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
300 KINGSLEY LAKE DR, STE. 402, SAINT AUGUSTINE, FL 32092-3037
(904) 826-1375
(904) 779-4964
Mailing address
300 KINGSLEY LAKE DR, STE. 402, SAINT AUGUSTINE, FL 32092-3037
(904) 429-9859
(904) 429-9862
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO 3240
FL
Other
Enumeration date
07/31/2006
Last updated
08/10/2015
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