DR. JEFFERSON MENNUTI (NPI# 1992944342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992944342 |
Entity Type | Individual |
Full Name | DR. JEFFERSON MENNUTI |
Credential | D.P.M. |
Practice Address |
1319 S International Pkwy Sute 1161 Lake Mary FL 32746-1408 |
Practice Telephone | 4073913344 |
Mailing Telephone | 4073913344 |
Enumeration Date | 2009-02-09 |
Last Update Date | 2016-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SCOO5766 | PA | Podiatric Medicine & Surgery Service Providers |
Street Address |
1319 S INTERNATIONAL PKWY SUTE 1161 |
City | LAKE MARY |
State | FL |
Zip Code | 32746-1408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740275361 | Mardi Jane Bishop | Obstetrics & Gynecology | 1319 S International Pkwy, Suite 1151, Lake Mary, FL 32746-1408 | 2005-09-20 |
1750725164 | On2feet, L.L.C. | Podiatrist | 1319 S International Pkwy, Suite 1161, Lake Mary, FL 32746-1408 | 2013-04-29 |
1760466510 | Womens Health Center of Central Florida LLC | Obstetrics & Gynecology | 1319 S International Pkwy, Ste 1151, Lake Mary, FL 32746-1408 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
Find all providers in zip 32746 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114003274 | Orlando Foot and Ankle Clinic, Inc | Podiatrist | 1307 S International Pkwy Ste 1061, Lake Mary, FL 32746-1412 | 2006-10-31 |
1275501876 | Walter E Roth IIi | Podiatrist | 925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114 | 2006-03-09 |
1568430163 | Cindy M Watson | Podiatrist | 925 Williston Park Point, Suite 1009, Lake Mary, FL 32746-2114 | 2006-03-09 |
1710979554 | Christopher C Mason | Podiatrist | 4106 W Lake Mary Blvd, 125, Lake Mary, FL 32746-3315 | 2005-08-18 |
1881204238 | Upperline Healthcare, PC | Podiatrist | 1307 S International Pkwy Ste 1061, Lake Mary, FL 32746-1412 | 2020-07-31 |
1871037267 | Pascarella, Hoover, Finkelstein & Wagner, Dpm Pa | Podiatrist | 1307 S International Pkwy, Suite 1061, Lake Mary, FL 32746-1413 | 2016-12-05 |
1013340025 | Jacob Bartoszek | Podiatrist | 917 Rinehart Rd, Suite 1051, Lake Mary, FL 32746-4802 | 2013-08-13 |
1932445566 | Paul Brian Thurston | Podiatrist | 1307 S International Pkwy Ste 1061, Lake Mary, FL 32746-1412 | 2013-01-01 |
1508183732 | Florida Foot & Ankle Group Pa | Podiatrist | 925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114 | 2010-04-28 |
1033296173 | Institute for Foot and Ankle Surgery | Podiatrist | 917 Rinehart Rd, Suite 2061, Lake Mary, FL 32746-4802 | 2006-11-01 |
Find all providers in LAKE MARY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.