Provider Demographics
NPI:1659643641
Name:NEMAT CLINIC INC
Entity Type:Organization
Organization Name:NEMAT CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EJAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:561-319-5433
Mailing Address - Street 1:110 ANDROS HARBOUR PL
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-1617
Mailing Address - Country:US
Mailing Address - Phone:561-319-5433
Mailing Address - Fax:
Practice Address - Street 1:110 ANDROS HARBOUR PL
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-1617
Practice Address - Country:US
Practice Address - Phone:561-319-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87785208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43303AMedicare PIN