IndividualActive
Marcus Manderino, RN
NPI 1174920987 · Registered Nurse · Bartow, FL
Provider details
- NPI number
- 1174920987
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN9383782 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1255 Golfview Ave
Bartow, FL 33830-6736
Phone: (863) 519-0575
Fax: (863) 582-9251
Street-level locationGet directions
Mailing address
Po Box 1559
Bartow, FL 33831-1559
Additional practice locations (1)
- 715 N Lake AveLakeland, FL 33801-1908Phone: (863) 519-0575
Registry dates
- Enumerated
- 2014-11-21
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.