| Evolve Wellness And Recovery, Llc | |
|
4417 Sw 34th Ter Ft Lauderdale FL 33312-5420 | |
| (954) 483-8348 | |
| Not Available |
| Full Name | Evolve Wellness And Recovery, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4417 Sw 34th Ter, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Steven M Suastegui (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9544838348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Wellness And Recovery, Llc 4417 Sw 34th Ter Ft Lauderdale FL 33312-5420 Ph: (954) 483-8348 | Evolve Wellness And Recovery, Llc 4417 Sw 34th Ter Ft Lauderdale FL 33312-5420 Ph: (954) 483-8348 |
| NPI Number | 1154177012 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154177012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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