Individual provider Active NPI

Abimbola Adegborioye, FNP-C

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1760282933
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F03250475 Issued in FL
Practice address
1360 NW 103Rd Ter
Plantation, FL 33322-6628
Phone
(954) 918-9709
NPI assigned
Mar 17, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03250475 FL
Nurse Practitioner 363L00000X F03250475 FL Primary

Addresses

Primary practice location

1360 NW 103Rd Ter
Plantation, FL 33322-6628

Mailing address

1360 NW 103Rd Ter
Plantation, FL 33322-6628
Phone (954) 918-9709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612000860 FL Practitioner - Nurse Practitioner 4082124599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Florida PLLCGroup PAC ID 6204166762, 31 clinicians
Nova Medical Services LLCGroup PAC ID 1759705148, 30 clinicians

Practice addresses (Care Compare)

3370 NW 47TH Ter
Lauderdale Lakes, FL 33319-6701
Phone (954) 733-5694

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03250475FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC CurrentSince Oct 1, 2025 Accepting new patients
Nova Medical Services Pain Management & Anesthesiology Division LLC CurrentSince Jul 7, 2025 Accepting new patients
Nova Medical Services - Pulmonary & Critical Care Division LLC CurrentSince Apr 30, 2025 Accepting new patients
Nova Medical Services LLC CurrentSince Aug 9, 2025 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

3370 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 733-0655

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Interoperability endpoints

  • Direct secure messaging: abimbola.adegborioye.1@3342.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1760282933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 NW 103RD TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226628",
            "telephone_number": "954-918-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 NW 103RD TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226628",
            "telephone_number": "954-918-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBORIOYE",
        "first_name": "ABIMBOLA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F03250475",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F03250475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.