Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evolution Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1679225825

Evolution Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Lauderdale, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 Middle River Dr Ste 103C
Fort Lauderdale, FL 33304-3559
Phone: (774) 365-9192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1679225825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannan Victorino — Owner · (774) 365-9192
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address3012 San Clara Dr # 18c, Delray Beach, FL 33445-5429

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