Healthcare Provider Details

I. General information

NPI: 1295315828
Provider Name (Legal Business Name): HAMMAD HUDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MOHAWK RD
MINNEOLA FL
34715-7434
US

IV. Provider business mailing address

1750 MEHLROSE AVE
BELLEAIR FL
33756-1634
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-1361
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberOS23631
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: