| Evolve Wellness and Recovery | |
|
4161 Nw 5th St Ste 201 Plantation FL 33317-2101 | |
| (954) 859-6051 | |
| (954) 349-1716 |
| Full Name | Evolve Wellness and Recovery |
|---|---|
| Speciality | Internal Medicine |
| Location | 4161 Nw 5th St Ste 201, Plantation, Florida |
| Authorized Official Name and Position | Steven M Suastegui (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9544838348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Wellness and Recovery 4161 Nw 5th St Ste 201 Plantation FL 33317-2101 Ph: (954) 859-6051 | Evolve Wellness and Recovery 4161 Nw 5th St Ste 201 Plantation FL 33317-2101 Ph: (954) 859-6051 |
| NPI Number | 1154177012 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Medicare PECOS PAC ID | 0840713475 |
|---|---|
| Medicare Enrollment ID | O20250325000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154177012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | () | Primary |
| Provider Name | Steven Suastegui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871144618 PECOS PAC ID: 5395268924 Enrollment ID: I20250325000883 |
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