Organization Active NPI

Judd Medical Center LLC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1174080329
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JUDD MEDICAL CENTER LLC
Practice address
13545 SW 108TH Street Cir S
Miami, FL 33186-3354
Phone
(305) 796-8106
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judit Ferrer, ARNP
Title
President
Phone
(305) 796-8106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

13545 SW 108TH Street Cir S
Miami, FL 33186-3354

Mailing address

13545 SW 108TH Street Cir S
Miami, FL 33186-3354
Phone (305) 796-8106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190702003629 FL Part B Supplier - Clinic/Group Practice 1557695095 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1174080329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 SW 108TH STREET CIR S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863354",
            "telephone_number": "305-796-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13545 SW 108TH STREET CIR S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863354",
            "telephone_number": "305-796-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDD MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "JUDIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-796-8106",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.