Kidney Doctor, Corp.

LBN: Kidney Doctor, Corp.
Kidney Doctor, Corp. is an health care organization with primary practice located at 4710 N Habana Ave Ste 300 , Tampa FL 33614-7151. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Kidney Doctor, Corp. can be contacted via phone (813) 873-1016, or through Ostolaza-Garcia, Otto via phone (813) 873-1016.

Contact Information

Primary practice address
4710 N Habana Ave Ste 300 Tampa FL 33614-7151
Phone: (813) 873-1016
Fax: (813) 874-2813
Website:
Map and Directions
Authorized official contact:
Name: Ostolaza-Garcia, Otto Doctor of Medicine (MD)
Phone: (813) 873-1016

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1871008508
LBN Legal business name Kidney Doctor, Corp.
DBA Doing business as
Authorized official Ostolaza-Garcia, Otto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871008508 NPPES
Florida MEDICAID 010280100

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