| Entity Name: | PRESTIGE CLINICIANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2019 (6 years ago) |
| Document Number: | L19000042547 |
| FEI/EIN Number | 83-3642950 |
| Mail Address: | 301 SW 1st Ave, Fort Lauderdale, FL, 33301, US |
| Address: | 4513 NW 31st Ave, OAKLAND PARK, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497213755 | 2019-03-06 | 2024-03-20 | 4513 NW 31ST AVE STE 1, OAKLAND PARK, FL, 333093403, US | 4513 NW 31ST AVE STE 1, OAKLAND PARK, FL, 333093403, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-496-2599 |
| Fax | 9543370236 |
Authorized person
| Name | MR. HENRY ODAZIE |
| Role | FNP |
| Phone | 9544962599 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Odazie Henry U | Agent | 301 SW 1st Ave, Fort lauderdale, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| Odazie Henry U | President | 4513 NW 31st Ave, OAKLAND PARK, FL, 33309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000143827 | DIABETES CENTERS OF EXCELLENCE-SOUTH FLORIDA | ACTIVE | 2023-11-27 | 2028-12-31 | No data | 3800 WEST BROWARD BLVD SUITE 101, PLANTATION, FL |
| G23000143824 | FORT LAUDERDALE URGENT CARE CENTER | ACTIVE | 2023-11-27 | 2028-12-31 | No data | 331 NW 27TH AVE, FORT LAUDERDALE,, FORT LAUDERDALE, FL, 33311 |
| G23000090824 | PLANTATION URGENT CARE CENTER | ACTIVE | 2023-08-03 | 2028-12-31 | No data | 3800 WEST BROWARD BLVD SUITE 101, PLANTATION, FL, 33312 |
| G20000093993 | LGBTQ TELEHEALTH CLINIC | ACTIVE | 2020-08-02 | 2025-12-31 | No data | 1761 N YOUNG CIR STE 3, #109, HOLLYWOOD, FL, 33020 |
| G20000085163 | ELITE STEM CELL & PEPTIDE CLINIC | ACTIVE | 2020-07-19 | 2025-12-31 | No data | 1915 WASHINGTON ST, HOLLYWOOD, FL, 33020 |
| G20000085156 | PRESTIGE MEN'S HEALTH CLINIC | ACTIVE | 2020-07-19 | 2025-12-31 | No data | 1915 WASHINGTON ST, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-18 | Odazie, Henry Uchenna | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-23 | 4513 NW 31st Ave, OAKLAND PARK, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-23 | 4513 NW 31st Ave, OAKLAND PARK, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-23 | 301 SW 1st Ave, 2019, Fort lauderdale, FL 33301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-14 |
| AMENDED ANNUAL REPORT | 2021-07-23 |
| ANNUAL REPORT | 2021-05-01 |
| AMENDED ANNUAL REPORT | 2020-04-13 |
| AMENDED ANNUAL REPORT | 2020-04-05 |
| ANNUAL REPORT | 2020-02-16 |
| Florida Limited Liability | 2019-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
