EVOLVE WELLNESS AND RECOVERY – NPI #1154177012
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Health Care Provider Taxonomy Code for Internal Medicine

EVOLVE WELLNESS AND RECOVERY is a provider located in PLANTATION, FL. NPPES has assigned the NPI number 1154177012 to EVOLVE WELLNESS AND RECOVERY on April 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Feb 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVOLVE WELLNESS AND RECOVERY below.

NPI Profile for
EVOLVE WELLNESS AND RECOVERY

NPI Number
1154177012
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVOLVE WELLNESS AND RECOVERY
Primary location
4161 NW 5TH ST STE 201
PLANTATION, FL 33317-2101
Phone: (954) 859-6051 Fax: (954) 349-1716
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN SUASTEGUI
MEDICAL DIRECTOR
Phone: (954) 483-8348
Updated
Certification Date
Feb 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.