EMMANUEL LAGOUTARIS, DPM, LLC
Medical Practice at Kingsley Lake Dr, Saint Augustine, FL

License number
Florida PO3053
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. EMMANUEL LAGOUTARIS D.P.M.
Title: OWNER
Phone: (904) 429-9859
Address
Address
300 Kingsley Lake Dr STE. 402, Saint Augustine, FL 32092
National Provider ID: 1972994770
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EMMANUEL LAGOUTARIS, DPM, LLC at bizstanding.com

EMMANUEL LAGOUTARIS, DPM, LLC

215 Prince Phillip Dr, Saint Augustine, FL 32092

Registration:
Jan 26, 2015
State ID:
L15000014505
Business type:
Florida Limited Liability Company
Emmanuel Lagoutaris, 215 Prince Phillip Dr, Saint Augustine, FL 32092 (Physical)
Agent:
Lagoutaris, Emmanuel,215 Prince Phillip Dr, Saint Augustine, FL 32092 (Physical)
EIN:
NONE

Medical Practice licenses in Florida










Other Doctors licenses in Florida