| Entity Name: | KIDNEY DOCTOR, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KIDNEY DOCTOR, CORP. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Jun 2017 (8 years ago) |
| Document Number: | P17000048094 |
| FEI/EIN Number |
82-1854202
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3608 W EUCLID AVE, TAMPA, FL, 33629, US |
| Mail Address: | 3608 W EUCLID AVE, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871008508 | 2017-12-04 | 2017-12-04 | 111 N 12TH ST UNIT 1424, TAMPA, FL, 336023674, US | 4710 N HABANA AVE STE 300, TAMPA, FL, 336147151, US | |||||||||||||||||||||||
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| Phone | +1 407-718-6568 |
| Phone | +1 813-873-1016 |
| Fax | 8138742813 |
Authorized person
| Name | OTTO OSTOLAZA-GARCIA |
| Role | OWNER/PRESIDENT |
| Phone | 8138731016 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010280100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OSTOLAZA GARCIA OTTO | President | 3608 W EUCLID AVE, TAMPA, FL, 33629 |
| OSTOLAZA GARCIA OTTO | Director | 3608 W EUCLID AVE, TAMPA, FL, 33629 |
| ACCOUNTING MANAGEMENT AND ADVISORY SERVICE | Agent | 615 CHANNELSIDE DRIVE, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-24 | ACCOUNTING MANAGEMENT AND ADVISORY SERVICES INC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-24 | 615 CHANNELSIDE DRIVE, SUITE 207, TAMPA, FL 33602 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-08 | 3608 W EUCLID AVE, TAMPA, FL 33629 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-08 | 3608 W EUCLID AVE, TAMPA, FL 33629 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-01-10 |
| Domestic Profit | 2017-06-01 |
Date of last update: 02 May 2025
Sources: Florida Department of State
