Healthcare Provider Details

I. General information

NPI: 1538509195
Provider Name (Legal Business Name): JUDITH NEMET M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDITH JOSEPH M.D

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 OPA LOCKA BLVD
OPA LOCKA FL
33054
US

IV. Provider business mailing address

6100 BLUE LAGOON DR STE 365
MIAMI FL
33126-7010
US

V. Phone/Fax

Practice location:
  • Phone: 786-476-3333
  • Fax: 786-621-7816
Mailing address:
  • Phone: 786-322-7333
  • Fax: 768-233-7329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME142451
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: