Prestige Recovery and Suboxone Clinic LLC
NPI 1215623624 · Psychiatry Physician · Fort Lauderdale, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Recovery and Suboxone Clinic LLC is a Psychiatry Physician organization in Fort Lauderdale, FL (NPI 1215623624).
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
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
Mailing address
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
Frequently asked questions
- What is Prestige Recovery and Suboxone Clinic LLC's NPI number?
- Prestige Recovery and Suboxone Clinic LLC's National Provider Identifier (NPI) is 1215623624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Recovery and Suboxone Clinic LLC?
- Prestige Recovery and Suboxone Clinic LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Prestige Recovery and Suboxone Clinic LLC located?
- Prestige Recovery and Suboxone Clinic LLC's practice location on file with NPPES is 3800 W Broward Blvd, Fort Lauderdale, FL 33312-1018.
- What is Prestige Recovery and Suboxone Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Recovery and Suboxone Clinic LLC is (954) 496-2599.
- Does Prestige Recovery and Suboxone Clinic LLC accept Medicare?
- Prestige Recovery and Suboxone Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prestige Recovery and Suboxone Clinic LLC?
- The authorized official listed on Prestige Recovery and Suboxone Clinic LLC's NPPES record is Henry Odazie, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Recovery and Suboxone Clinic LLC's NPI active?
- Yes — Prestige Recovery and Suboxone Clinic LLC's NPI (1215623624) is active in the NPPES registry as of the last update on 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.