PRESTIGE CLINICIANS LLC
NPI 1497213755
Clinic/Center - Primary Care in Oakland Park, FL

Active since March 06, 2019CLIA 10D2233286 · Waiver
4513 NW 31ST AVE STE 1, OAKLAND PARK, FL 33309(954) 496-2599(954) 337-0236 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, Jul 22, 2023, Nov 26, 2021 and 4 more (7 updates tracked since 2019).

About Prestige Clinicians Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE CLINICIANS LLC (NPI 1497213755) is a healthcare organization registered as a primary care in Oakland Park, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through August 22, 2027, maintains a secondary practice location in Fort Lauderdale, and lists Henry Odazie, Fnp, as its authorized official.

NPPES Registry Identity

NPI1497213755
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRESTIGE CLINICIANS LLC
Location Address4513 NW 31ST AVE STE 1Oakland Park, FL 33309-3403
Mailing Address4513 Nw 31st Ave Ste 1Oakland Park, FL 33309-3403 · (954) 496-2599 · Fax (954) 337-0236
Fax(954) 337-0236
Organization SubpartNo
Authorized OfficialHenry OdazieFnp · (954) 496-2599
Enumeration DateMarch 6, 2019
Last NPPES UpdateMarch 20, 20247 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
NPI 1497213755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4513 NW 31ST AVE STE 1, Oakland Park, FL 33309

Secondary Practice Location 1

Location 1331 NW 27th AveFort Lauderdale, FL 33311-8632 · Phone (954) 440-0983

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2233286

Prestige Clinicians LLC · Oakland Park, FL
Active · expires Aug 22, 2027
CLIA Number10D2233286
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorHenry Odazie
Laboratory Phone(954) 496-2599
Laboratory LocationPrestige Clinicians LLC4513 NW 31st Ave, Oakland Park, FL 33309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4513 NW 31ST AVE STE 1
OAKLAND PARK, FL 33309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Clinicians LLC's NPI number?

The NPI number for Prestige Clinicians LLC is 1497213755. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Prestige Clinicians LLC located?

Prestige Clinicians LLC is located at 4513 NW 31st Ave Ste 1, Oakland Park, FL 33309. The listed phone number is (954) 496-2599.

What is Prestige Clinicians LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Prestige Clinicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233286) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prestige Clinicians LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) list Prestige Clinicians LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prestige Clinicians LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.