Individual provider · NPI-1

Marcquan Adderly

Nurse Practitioner · Plantation, FL

NPI number1922985308
StatusActive
Last updated in NPPESJul 30, 2026

Details

NPI
1922985308
Entity type
Individual (NPI-1)
Name
Marcquan Adderly
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 19, 2025
Certification date
Jul 30, 2026
Last updated
Jul 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN11041746FLYes
363LF0000X Nurse Practitioner, FamilyAPRN11041746FL

Practice location

8320 W Sunrise Blvd Ste 208
Plantation, FL 33322-5432

Phone 800-640-3451 · Fax 385-273-5971

Mailing address

Po Box 1200
Pleasant Grove, UT 84062-1200

Phone 800-640-3451 · Fax 385-287-1900

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