NPI 1194130211 · live from the CMS NPI Registry
Konstantin Agarunov, D.P.M.
Podiatrist, Foot & Ankle Surgery in St Petersburg, FL. National Provider Identifier 1194130211, active.
NPI record
| NPI | 1194130211 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 6707 38th Ave N, St Petersburg, FL 33710 |
| Practice phone | 727-896-4615 |
| Mailing address | 8353 Sw 124th St Ste 206, Miami, FL 33156 |
| Enumerated | June 26, 2014 |
| Last updated | March 10, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | PO3990 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.