KIDNEY DOCTOR, CORP.

TAMPA, FL
NPI1871008508
Entity TypeOrganization
Authorized ContactOTTO OSTOLAZA-GARCIA
Owner/President
813-873-1016
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2017-12-04
Last Update Date2017-12-04
Business Address
KIDNEY DOCTOR, CORP.
4710 N HABANA AVE STE 300
TAMPA, FL 33614-7151
Phone number: 813-873-1016
Mailing Address
KIDNEY DOCTOR, CORP.
111 N 12TH ST UNIT 1424
TAMPA, FL 33602-3674
Phone number: 407-718-6568
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