Organization
PRESTIGE RECOVERY AND SUBOXONE CLINIC LLC
Active
Other names
PRESTIGE CONCIERGE PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY ODAZIE (CEO)
(954) 496-2599
Entity
Organization
Contact information
Practice address
3800 W BROWARD BLVD, FORT LAUDERDALE, FL 33312-1018
(954) 496-2599
Mailing address
3800 W BROWARD BLVD, FORT LAUDERDALE, FL 33312-1018
(954) 496-2599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/18/2023
Last updated
03/20/2024
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