OrganizationActive
Prestige Recovery and Suboxone Clinic LLC
NPI 1215623624 · Psychiatry Physician · Fort Lauderdale, FL
Provider details
- NPI number
- 1215623624
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Odazie, Ceo(954) 496-2599
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3800 W Broward Blvd
Fort Lauderdale, FL 33312-1018
Phone: (954) 496-2599
Street-level locationGet directions
Mailing address
3800 W Broward Blvd
Fort Lauderdale, FL 33312-1018
Other names (DBA / former)
- Doing business as
- Prestige Concierge Psychiatry
- Doing business as
- Prestige Concierge Psychiatry
Additional practice locations (1)
- 2378 Great Harbor DrKissimmee, FL 34746-3596Phone: (954) 496-2599
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.