Organization
PRESTIGE CLINICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY ODAZIE (FNP)
(954) 496-2599
Entity
Organization
Contact information
Practice address
4513 NW 31ST AVE STE 1, OAKLAND PARK, FL 33309-3403
(954) 496-2599
(954) 337-0236
Mailing address
4513 NW 31ST AVE STE 1, OAKLAND PARK, FL 33309-3403
(954) 496-2599
(954) 337-0236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/06/2019
Last updated
03/20/2024
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