DR. EMMANUEL D LAGOUTARIS (NPI# 1932180676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932180676 |
| Entity Type | Individual |
| Full Name | DR. EMMANUEL D LAGOUTARIS |
| Credential | DPM |
| Practice Address |
300 Kingsley Lake Dr Ste. 402 St Augustine FL 32092-3037 |
| Mailing Address |
2220 County Road 210 W Ste 108, Pmb 355 Jacksonville FL 32259-4060 |
| Practice Telephone | 9044299859 |
| Practice Fax Number | 9044299862 |
| Mailing Telephone | 9045349752 |
| Mailing Fax Number | 9048196734 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
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 |
|---|---|---|---|---|
| 1972994770 | Emmanuel Lagoutaris, Dpm, LLC | Podiatrist | 300 Kingsley Lake Dr, Ste. 402, St Augustine, FL 32092-3037 | 2015-02-15 |
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568432722 | Beth S Pearce | Podiatrist | One Orthopaedic Place, St Augustine, FL 32086-4202 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
Please comment or provide details below to improve the information on DR. EMMANUEL D 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.