Abimbola Adegborioye, FNP-C
Individual provider Active NPI Nurse Practitioner · Plantation, FL
NPI 1760282933 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1760282933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F03250475 (FL)
- Practice address
- 1360 NW 103Rd Ter
Plantation, FL 33322-6628 - Phone
- (954) 918-9709
- NPI assigned
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitae Health Medical Florida PLLC
Nova Medical Services LLC
Nova Medical Services - Pulmonary and Critical Care Division LLC
Nova Medical Services Pain Management and Anesthesiology Division LLC
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
- United Care Home Health Services LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612000860 | FL | Practitioner - Nurse Practitioner | 4082124599 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03250475 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Medical Services - Pulmonary & Critical Care Division LLC | Current |
Accepting new patients | |
| Nova Medical Services LLC | Current |
Accepting new patients | |
| Vitae Health Medical Florida PLLC | Current |
Accepting new patients | |
| Nova Medical Services Pain Management & Anesthesiology Division LLC | Current |
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
- abimbola.adegborioye.1@3342.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03250475 | FL | |
| Nurse Practitioner | 363L00000X | F03250475 | FL | Yes |
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
Other providers in Plantation, FL
- Jennifer Adams
- Lisa Adams
- Shalom Adams
- Marcquan Adderly
- Sharon N. Addy
- Adept Behavioral Management
- Rilwan Adigun
- Simon Joseph Adir
- Anthony Lamar Adkins
- Jay B Adler
All providers in Plantation, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.