Provider Demographics
NPI:1538509195
Name:NEMET, JUDITH (MD)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:NEMET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6100 BLUE LAGOON DR STE 365
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7010
Mailing Address - Country:US
Mailing Address - Phone:786-322-7333
Mailing Address - Fax:768-233-7329
Practice Address - Street 1:321 OPA LOCKA BLVD
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054
Practice Address - Country:US
Practice Address - Phone:786-476-3333
Practice Address - Fax:786-621-7816
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME142451207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104369800Medicaid
FLME142451OtherMEDICAL LICENSE