Individual
DR. EMMANUEL D LAGOUTARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6209 BROOKS BARTRAM DR, JACKSONVILLE, FL 32258-5601
(904) 534-9752
Mailing address
2220 COUNTY ROAD 210 W, STE 108, PMB 355, JACKSONVILLE, FL 32259-4060
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO3053
FL
Other
Enumeration date
11/09/2005
Last updated
03/03/2024
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