Organization Active NPI

Kidney and Hypertension Group of Florida LLC

  • Nephrology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1629888334
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY AND HYPERTENSION GROUP OF FLORIDA LLC
Practice address
2001 NE 48TH CT Ste 4
Fort Lauderdale, FL 33308-4512
Phone
(954) 771-3929
Fax
(954) 771-2393
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Gabriel A Valle, MDNPI 1578669925
Title
Manager
Phone
(954) 931-4713

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2001 NE 48TH CT Ste 4
Fort Lauderdale, FL 33308-4512

Mailing address

2001 NE 48TH CT Ste 4
Fort Lauderdale, FL 33308-4512
Phone (954) 771-3929

National Provider Directory

National Provider Directory

Locations

300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1629888334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH CT STE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084512",
            "telephone_number": "954-771-3929",
            "fax_number": "954-771-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH CT STE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084512",
            "telephone_number": "954-771-3929",
            "fax_number": "954-771-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND HYPERTENSION GROUP OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-931-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.