Marcquan Adderly
Individual provider Active NPI Nurse Practitioner · Plantation, FL
NPI 1922985308 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1922985308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11041746 (FL)
- Practice address
- 8320 W Sunrise Blvd Ste 208
Plantation, FL 33322-5432 - Phone
- (800) 640-3451
- Fax
- (385) 273-5971
- NPI assigned
- Aug 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diabetes Management Partners LLC
WT Health of Florida LLC
Practice addresses (Care Compare)
4300 Alton Rd
Miami, FL 33140-2948
Phone (904) 372-3943
5979 Vineland Rd
Suite 109
Orlando, FL 32819-7857
Phone (954) 923-7440
Hospital & facility affiliations
- Mount Sinai Medical Center of Florida, Inc
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 |
|---|---|---|---|---|
| I20250930000411 | FL | Practitioner - Nurse Practitioner | 5395241384 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes Management Partners LLC | Current |
Accepting new patients | |
| Cardiac and Vascular Consultants MD PA | Current |
Accepting new patients | |
| Spencer J Hardenbrook MD PC | Current |
Accepting new patients | |
| Diabetes Management Partners LLC | Current |
Accepting new patients | |
| Optimum CV PLLC | Past | Accepting new patients |
Locations
7751 Belfort Pkwy
Ste 120
Jacksonville, FL 32256
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
8320 W Sunrise Blvd
Ste 208
Plantation, FL 33322
Phone (904) 203-8853
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
1050 Old Camp Rd
Ste 2701050
The Villages, FL 32162
1050 Old Camp Rd
Ste 270
The Villages, FL 32162
Phone (352) 552-4648
4056 E State Road 44
Wildwood, FL 34785
Phone (321) 248-2666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11041746 | FL | Yes |
| Family Nurse Practitioner | 363LF0000X | APRN11041746 | FL |
Addresses
Primary practice location
8320 W Sunrise Blvd Ste 208
Plantation, FL 33322-5432
Mailing address
PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451
Other providers in Plantation, FL
- Acumantras
- Carlos Alberto Adams
- Jennifer Adams
- Lisa Adams
- Shalom Adams
- Sharon N. Addy
- Abimbola Adegborioye
- Adept Behavioral Management
- Rilwan Adigun
- Simon Joseph Adir
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 Jul 30, 2026. 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.