Agarunov, Konstantin
Agarunov, Konstantin is an sole proprietor health care provider with primary practice located at 6707 38Th Ave N , St Petersburg FL 33710-1536. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Agarunov, Konstantin can be contacted via phone (727) 896-4615.Contact Information
Primary practice address
6707 38Th Ave N
St Petersburg FL 33710-1536
Phone: (727) 896-4615
Fax: (727) 256-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3990 | Florida |
Profile Details
| NPI number | 1194130211 |
|---|---|
| LBN Legal business name | Agarunov, Konstantin |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2014 |
| Last updated | Mar 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194130211 | NPPES |
| Florida | Other | PO3990 | FLORIDA STATE LICENSE |
| Florida | Other | 101900200 | FLORIDA STATE LICENSE |
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