Organization
LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEANYI ISAIAH MD (OWNER)
(954) 438-8085
Entity
Organization
Contact information
Practice address
17901 NW 5TH ST, SUITE 203, PEMBROKE PINES, FL 33029-2810
(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
ME98154
FL
Other
Enumeration date
12/15/2009
Last updated
07/26/2010
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