EVOLVE WELLNESS AND RECOVERY
NPI 1154177012
Internal Medicine - Addiction Medicine in Plantation, FL

Active since April 30, 2024CLIA 10D2315316 · Waiver
4161 NW 5TH ST STE 201, PLANTATION, FL 33317(954) 859-6051(954) 349-1716 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2025, Nov 13, 2024, Apr 30, 2024 (3 updates tracked since 2024).

About Evolve Wellness And Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLVE WELLNESS AND RECOVERY (NPI 1154177012) is a healthcare organization registered as an addiction medicine in Plantation, Florida and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Steven M Suastegui, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154177012
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameEVOLVE WELLNESS AND RECOVERY
Location Address4161 NW 5TH ST STE 201Plantation, FL 33317-2101
Mailing Address4161 Nw 5th St Ste 201Plantation, FL 33317-2101 · (954) 859-6051 · Fax (954) 349-1716
Fax(954) 349-1716
Organization SubpartNo
Authorized OfficialSteven M SuasteguiMedical Director · (954) 483-8348
Enumeration DateApril 30, 2024
Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
NPI 1154177012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
4161 NW 5TH ST STE 201, Plantation, FL 33317

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2315316

Evolve Wellness And Recovery LLC · Plantation, FL
Active · expires Dec 10, 2026
CLIA Number10D2315316
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorSteven Suastegui
Laboratory Phone(954) 859-6051
Laboratory LocationEvolve Wellness And Recovery LLC4161 NW 5th St Ste 201, Plantation, FL 33317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
4161 NW 5TH ST STE 201
PLANTATION, FL 33317
Nurse Practitioner (Family)
4161 NW 5TH ST STE 201
PLANTATION, FL 33317
Internal Medicine (Addiction Medicine)
4161 NW 5TH ST STE 201
PLANTATION, FL 33317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolve Wellness And Recovery's NPI number?

The NPI number for Evolve Wellness And Recovery is 1154177012. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Evolve Wellness And Recovery located?

Evolve Wellness And Recovery is located at 4161 NW 5th St Ste 201, Plantation, FL 33317. The listed phone number is (954) 859-6051.

What is Evolve Wellness And Recovery's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Does Evolve Wellness And Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2315316) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evolve Wellness And Recovery was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.