Organization
KIDNEY DOCTOR, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO OSTOLAZA-GARCIA MD (OWNER/PRESIDENT)
(813) 873-1016
Entity
Organization
Contact information
Practice address
4710 N HABANA AVE STE 300, TAMPA, FL 33614-7151
(813) 873-1016
(813) 874-2813
Mailing address
111 N 12TH ST UNIT 1424, TAMPA, FL 33602-3674
(407) 718-6568
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010280100
—
FL
Enumeration date
12/04/2017
Last updated
12/04/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us