IndividualActive
John Lagoutaris, D.P.M.
NPI 1780690867 · Foot Surgery Podiatrist · Saint Augustine, FL
Provider details
- NPI number
- 1780690867
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- PO 3240 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
300 Kingsley Lake Dr
Ste. 402
Saint Augustine, FL 32092-3037
Phone: (904) 826-1375
Fax: (904) 779-4964
Approximate (ZIP-level) locationGet directions
Mailing address
300 Kingsley Lake Dr
Saint Augustine, FL 32092-3037
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2015-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.