Ostolaza-Garcia, Otto

Ostolaza-Garcia, Otto is an sole proprietor health care provider with primary practice located at 4710 N Habana Ave Suite 300, Tampa FL 33614-7151. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ostolaza-Garcia, Otto can be contacted via phone (813) 873-1016.

Contact Information

Primary practice address
4710 N Habana Ave Suite 300 Tampa FL 33614-7151
Phone: (813) 873-1016
Fax: (813) 874-2813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17275 Puerto Rico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME117767 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME117767 Florida

Profile Details

NPI number 1821269051
LBN Legal business name Ostolaza-Garcia, Otto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2008
Last updated Mar 15th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821269051 NPPES
Florida MEDICAID 010280100
Florida Other ME117767
Florida Other P01402860

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