| Entity Name: | IRA M. STEIN, M.D., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jul 2002 (23 years ago) |
| Document Number: | L02000018069 |
| FEI/EIN Number | 113643332 |
| Address: | 13005 SOUTHERN BOULEVARD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL, 33470 |
| Mail Address: | 13005 SOUTHERN BOULEVARD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL, 33470 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902010697 | 2007-05-10 | 2008-02-08 | 13005 SOUTHERN BLVD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL, 334709206, US | 13005 SOUTHERN BLVD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL, 334709206, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-204-4240 |
| Fax | 5612044242 |
Authorized person
| Name | DR. IRA MICHAEL STEIN |
| Role | MANAGER |
| Phone | 5612044240 |
Taxonomy
| Taxonomy Code | 207YP0228X - Pediatric Otolaryngology Physician |
| License Number | ME0078470 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI -INDIVIDUAL |
| Number | 1285600791 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARY METROU | Agent | 13005 SOUTHERN BOULEVARD, LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| STEIN IRA M | Manager | 13005 SOUTHERN BLVD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 13005 SOUTHERN BOULEVARD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL 33470 | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-25 | 13005 SOUTHERN BOULEVARD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL 33470 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-23 | 13005 SOUTHERN BOULEVARD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL 33470 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-01-07 | MARY METROU | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-01-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
