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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WANDERING MICHELLE LLC
NPI 1114528874
Nurse Practitioner - Family in Fruitland Park, FL

Active since November 07, 2020
4208 IDLEWILD DR, FRUITLAND PARK, FL 34731(407) 920-0785(352) 716-7611 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Nov 7, 2020 (2 updates tracked since 2020).

About Wandering Michelle Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDERING MICHELLE LLC (NPI 1114528874) is a healthcare organization registered as a family in Fruitland Park, Florida and active in the NPI registry since November 2020. The organization lists Michelle C Deflorimonte, Owner, as its authorized official.

NPPES Registry Identity

NPI1114528874
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWANDERING MICHELLE LLC
Location Address4208 IDLEWILD DRFruitland Park, FL 34731-5638
Mailing Address4208 Idlewild DrFruitland Park, FL 34731-5638 · (407) 920-0785 · Fax (352) 716-7611
Phone(407) 920-0785
Fax(352) 716-7611
Organization SubpartNo
Authorized OfficialMichelle C DeflorimonteOwner · (407) 920-0785
Enumeration DateNovember 7, 2020
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1114528874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4208 IDLEWILD DR, Fruitland Park, FL 34731
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BASSA 365 ENTERPRISES
Taxi
4208 IDLEWILD DR
FRUITLAND PARK, FL 34731
Lake County (321) 239-7936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wandering Michelle LLC's NPI number?

The NPI number for Wandering Michelle LLC is 1114528874. It was assigned to this organization in the NPPES registry on November 7, 2020.

Where is Wandering Michelle LLC located?

Wandering Michelle LLC is located at 4208 Idlewild Dr, Fruitland Park, FL 34731. The listed phone number is (407) 920-0785.

What is Wandering Michelle LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wandering Michelle LLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.