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KIDNEY DOCTOR, CORP.
NPI 1871008508
Internal Medicine - Nephrology in Tampa, FL

Active since December 04, 2017
4710 N HABANA AVE STE 300, TAMPA, FL 33614(813) 873-1016(813) 874-2813 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kidney Doctor, Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY DOCTOR, CORP. (NPI 1871008508) is a healthcare organization registered as a nephrology in Tampa, Florida and active in the NPI registry since December 2017. The organization lists Otto Ostolaza-garcia, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1871008508
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY DOCTOR, CORP.
Location Address4710 N HABANA AVE STE 300Tampa, FL 33614-7151
Mailing Address111 N 12th St Unit 1424Tampa, FL 33602-3674 · (407) 718-6568
Phone(813) 873-1016
Fax(813) 874-2813
Organization SubpartNo
Authorized OfficialOtto Ostolaza-garciaOwner/president · (813) 873-1016
Enumeration DateDecember 4, 2017
✔ NPI 1871008508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4710 N HABANA AVE STE 300, Tampa, FL 33614
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Other Identifiers 1

Medicaid010280100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is KIDNEY DOCTOR, CORP.'s NPI number?

The NPI number assigned to this healthcare provider is 1871008508, enumerated as an "organization" on December 04, 2017.

Where is the provider located?

The provider is located at 4710 N HABANA AVE STE 300 TAMPA, FL 33614 and the phone number is (813) 873-1016.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

What insurance does KIDNEY DOCTOR, CORP. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.