Organization
SAMDAZIE LLC
Active
Other names
PRESTIGE MOBILE WOUND CONSULTANTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY ODAZIE (MEDICAL DIRECTOR)
(954) 440-0983
Entity
Organization
Contact information
Practice address
331 NW 27TH AVE, FORT LAUDERDALE, FL 33311-8632
(954) 496-2599
Mailing address
331 NW 27TH AVE, FORT LAUDERDALE, FL 33311-8632
(954) 496-2599
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
06/28/2022
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