OrganizationActive
Advanced Wound Care of North Florida, LLC
NPI 1477946820 · Primary Podiatric Medicine Podiatrist · Jacksonville, FL
Provider details
- NPI number
- 1477946820
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- John Lagoutaris, Owner
- License
- PO3240 (FL)
Practice location
13500 Sutton Park Dr S
Suite 403
Jacksonville, FL 32224-5251
Phone: (904) 493-3390
Fax: (904) 493-3395
Mailing address
108 Prince Phillip Dr
St Augustine, FL 32092-1746
Registry dates
- Enumerated
- 2015-03-10
- Last updated
- 2015-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.