Organization · Type 2 NPI

Samdazie LLC

Clinic/Center · Fort Lauderdale, FL

NPI number 1396493201 Active

Practice location

331 NW 27th Ave
Fort Lauderdale, FL 33311-8632

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1396493201
Entity type: Organization (Type 2)
Issued: Mar 10, 2022
Last updated: Jun 28, 2022
Status: Active

Other names

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Prestige Mobile Wound Consultants · doing business as
Prestige Mobile Wound Consultants · doing business as

Authorized official

Mr. Henry Odazie
Medical Director
(954) 440-0983

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396493201

Samdazie LLC's National Provider Identifier is 1396493201, issued on Mar 10, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 28, 2022.