Active NPI
Florida Nephrology Hypertension & Renal Transplantation, LLC
- Nephrology Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- FLORIDA NEPHROLOGY HYPERTENSION & RENAL TRANSPLANTATION, LLC
- Practice address
- 4355 Bear Gully Rd Ste 1024
Winter Park, FL 32792-9422 - Phone
- (407) 647-2550
- Fax
- (407) 647-0616
- NPI assigned
- Apr 29, 2019
- Last updated
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ijlal Uddin, MD
- Title
- Owner/ Operator
- Phone
- (407) 647-2550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary | |
| Medical Specialty Clinic/Center | 261QM2500X | NU |
Addresses
Primary practice location
4355 Bear Gully Rd Ste 1024
Winter Park, FL 32792-9422
Mailing address
5745 Canton CV Ste 121
Winter Springs, FL 32708-5012
Phone (407) 288-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5745 Canton Cv
Ste 121
Winter Springs, FL 32708
Phone (407) 545-6232
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nephrology Physician
- Winter Park, FL
- NPI 1760652879
-
- Nephrology Physician
- Windermere, FL
- NPI 1013162759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1366006967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5745 CANTON CV STE 121",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085012",
"telephone_number": "407-288-8750",
"fax_number": "407-412-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 BEAR GULLY RD STE 1024",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327929422",
"telephone_number": "407-647-2550",
"fax_number": "407-647-0616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA NEPHROLOGY HYPERTENSION & RENAL TRANSPLANTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-29",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "UDDIN",
"authorized_official_first_name": "IJLAL",
"authorized_official_title_or_position": "OWNER/ OPERATOR",
"authorized_official_telephone_number": "407-647-2550",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Florida Hospital Medical Group Inc (Orlando Neurosurgery)
- Florida Hospital Medical Group Inc (AdventHealth Medical Group Breast Surgery at Winter Park)
- Florida Hospital Medical Group Inc (AdventHealth Medical Group)
- Florida Institute of Research, Medicine, and Surgery, P.a. (Cancer Centers of Florida)
- Florida Lipid Institute PA
- Florida Neuropathy & Pain Centers Inc
- Florida Omm Group LLC
- Florida Oncology Network PA
- Florida Orthopaedic Clinic PA
- Florida Otolaryngology Group, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.