Organization
LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEANYI O ISAIAH MD (OWNER)
(954) 438-8085
Entity
Organization
Contact information
Practice address
17325 NW 27TH AVE, SUITE 108, MIAMI GARDENS, FL 33056-4056
(954) 438-8085
(954) 438-8086
Mailing address
17901 NW 5TH ST, SUITE 203, PEMBROKE PINES, FL 33029-2810
(954) 438-8085
(954) 438-8086
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME 98154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 98154
MEDICAL LICENSE
FL
Enumeration date
02/19/2014
Last updated
02/24/2014
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