| Entity Name: | LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Oct 2009 (15 years ago) |
| Document Number: | P09000083208 |
| FEI/EIN Number | 800494752 |
| Address: | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| Mail Address: | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639594211 | 2014-02-19 | 2014-02-24 | 17901 NW 5TH ST, SUITE 203, PEMBROKE PINES, FL, 330292810, US | 17325 NW 27TH AVE, SUITE 108, MIAMI GARDENS, FL, 330564056, US | |||||||||||||||||||||||||
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| Phone | +1 954-438-8085 |
| Fax | 9544388086 |
Authorized person
| Name | DR. IFEANYI O ISAIAH |
| Role | OWNER |
| Phone | 9544388085 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME 98154 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME 98154 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYI | Agent | 17901 NW 5TH STREET, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYI | President | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYI | Chief Executive Officer | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYI | Director | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYI | Secretary | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| ISAIAH IFEANYI | Treasurer | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-29 | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-29 | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-29 | 17901 NW 5TH STREET, SUITE 203, PEMBROKE PINES, FL 33029 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
