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EMMANUEL LAGOUTARIS, DPM, LLC

Company Details

Entity Name: EMMANUEL LAGOUTARIS, DPM, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jan 2015 (10 years ago)
Document Number: L15000014505
FEI/EIN Number 47-3006881
Address: 215 PRINCE PHILLIP DRIVE, SAINT AUGUSTINE, FL, 32092, US
Mail Address: 215 PRINCE PHILLIP DRIVE, SAINT AUGUSTINE, FL, 32092, US
ZIP code: 32092
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972994770 2015-02-15 2016-12-23 300 KINGSLEY LAKE DR, STE. 402, ST AUGUSTINE, FL, 320923037, US 300 KINGSLEY LAKE DR, STE. 402, ST AUGUSTINE, FL, 320923037, US

Contacts

Phone +1 904-429-9859

Authorized person

Name DR. EMMANUEL LAGOUTARIS
Role OWNER
Phone 9044299859

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3053
State FL
Is Primary Yes

Agent

Name Role Address
LAGOUTARIS EMMANUEL Agent 215 PRINCE PHILLIP DRIVE, ST AUGUSTINE, FL, 32092

Member

Name Role Address
LAGOUTARIS EMMANUEL Member 215 PRINCE PHILLIP DRIVE, SAINT AUGUSTINE, FL, 32092

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-03-18
ANNUAL REPORT 2016-02-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State