# EVOLVE WELLNESS AND RECOVERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154177012
- **Authorized official:** DR. STEVEN M SUASTEGUI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (954) 483-8348

## Contact information

- **Practice address:** 4161 NW 5TH ST STE 201, PLANTATION, FL 33317-2101
- **Practice address phone:** (954) 859-6051
- **Practice address fax:** (954) 349-1716
- **Mailing address:** 4161 NW 5TH ST STE 201, PLANTATION, FL 33317-2101
- **Mailing address phone:** (954) 859-6051
- **Mailing address fax:** (954) 349-1716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 02/14/2025