| Entity Name: | FLORIDA NEPHROLOGY, HYPERTENSION & RENAL TRANSPLANTATION, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2019 (6 years ago) |
| Document Number: | L19000006499 |
| FEI/EIN Number | 833579538 |
| Address: | 631 PALMS SPRING DRIVE, 104, ALTAMONTE SPRINGS, FL, 32701, US |
| Mail Address: | 631 PALMS SPRING DRIVE, 104, ALTAMONTE SPRINGS, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366006967 | 2019-04-29 | 2019-04-29 | 5745 CANTON CV STE 121, WINTER SPRINGS, FL, 327085012, US | 5745 CANTON CV STE 121, WINTER SPRINGS, FL, 327085012, US | |||||||||||||||
|
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| Phone | +1 407-288-8750 |
| Fax | 4074127387 |
Authorized person
| Name | IJLAL UDDIN |
| Role | PHYSICIAN/OWNER |
| Phone | 4072888750 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| UDDIN IJLAL | Agent | 5745 CANTON COVE, WINTER SPRINGS, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| UDDIN IJLAL | Authorized Member | 5745 CANTON COVE, STE 121, WINTER SPRINGS, FL, 32708 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000020358 | FLORIDA NEPHROLOGY, HYPERTENSION & RENAL TRANSPLANTATION, LLC | ACTIVE | 2024-02-06 | 2029-12-31 | No data | 5745 CANTON COVE SUITE 121, WINTER SPRINGS, FL, 32708 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-01-24 |
| Florida Limited Liability | 2019-01-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
