PRESTIGE CLINICIANS LLC NPI 1497213755

NPI Information

  • NPI: 1497213755
  • Provider Name: PRESTIGE CLINICIANS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2233286
  • Address: 4513 NW 31ST AVE STE 1
    OAKLAND PARK, FL
    ZIP 33309
  • Phone: (954) 496-2599

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NPI Details

PRESTIGE CLINICIANS LLC is a primary care clinic center in Oakland Park, FL. PRESTIGE CLINICIANS LLC NPI is 1497213755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4513 NW 31ST AVE STE 1
OAKLAND PARK, FL
ZIP 33309-403
Phone: (954) 496-2599
Fax: (954) 337-0236

The provider's authorized official is Henry Odazie .
The authorized official title is Fnp and has the following contact phone number (954) 496-2599.

The CLIA number assigned to this NPI record is 10D2233286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2019 and was last updated on 3/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QP2300XClinic/CenterPrimary CareYes
4261QU0200XClinic/CenterUrgent CareNo
5363LF0000XNurse PractitionerFamilyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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