Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jefferson Mennuti, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1992944342

Dr. Jefferson Mennuti, DPM is a Podiatry in Lake Mary, Florida. Graduated from Temple University School of Medicine in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2009
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1319 S International Pkwy Sute 1161
Lake Mary, FL 32746-1408
Phone: (407) 391-3344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SCOO5766 (PA)

Record details

NPI number1992944342
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedFebruary 9, 2009
Last updated in NPPESJuly 23, 2016
Mailing address1319 S International Pkwy, Sute 1161, Lake Mary, FL 32746-1408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Mary