Emmanuel D Lagoutaris in Jacksonville - Primary Podiatric Medicine
Emmanuel D Lagoutaris - NPI 1932180676
Emmanuel D Lagoutaris is a Primary Podiatric Medicine in Jacksonville, Florida. Emmanuel D Lagoutaris practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Emmanuel D Lagoutaris is 1932180676. The last update date is 2019-01-05.
Emmanuel D Lagoutaris's current location address is 2220 County Road 210 W, Jacksonville, Florida. You can contact this provider via phone number 9045349752 and fax number 9048196734. The mailing address for Emmanuel D Lagoutaris is 2220 County Road 210 W, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emmanuel D Lagoutaris |
|---|---|
| Address | 2220 County Road 210 W, Jacksonville, Florida |
| Phone Number | 9045349752 |
| Fax Number | 9048196734 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1932180676 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2019-01-05 |
Provider Mailing Address Detail
| Address | 2220 County Road 210 W |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322594060 |
| Phone Number | 9045349752 |
| Fax Number | 9048196734 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | PO3053 |
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Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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What is the Emmanuel D Lagoutaris's 1932180676?
The Emmanuel D Lagoutaris's NPI (National Provider Identifier) Number is 1932180676. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Emmanuel D Lagoutaris located?
The Emmanuel D Lagoutaris is located at 2220 County Road 210 W, Jacksonville, FL 322594060.
What is Emmanuel D Lagoutaris's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Emmanuel D Lagoutaris is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.
On what date did the Emmanuel D Lagoutaris receive its 1932180676 assignment from the Centers for Medicare & Medicaid Services?
The Emmanuel D Lagoutaris was assigned its 1932180676 by the Centers for Medicare & Medicaid Services on 2005-11-09.
As of what date was the information pertaining to Emmanuel D Lagoutaris, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Emmanuel D Lagoutaris, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-01-05.