Organization Active NPI

Wandering Michelle, LLC

  • Family Nurse Practitioner
  • Fruitland Park, FL
National Provider Identifier
1114528874
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WANDERING MICHELLE, LLC
Practice address
4208 Idlewild Dr
Fruitland Park, FL 34731-5638
Phone
(407) 920-0785
Fax
(352) 716-7611
NPI assigned
Nov 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle C Deflorimonte
Title
Owner
Phone
(407) 491-4478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4208 Idlewild Dr
Fruitland Park, FL 34731-5638

Mailing address

4208 Idlewild Dr
Fruitland Park, FL 34731-5638
Phone (407) 491-4478

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1114528874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 IDLEWILD DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315638",
            "telephone_number": "407-491-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 IDLEWILD DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315638",
            "telephone_number": "407-920-0785",
            "fax_number": "352-716-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERING MICHELLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "DEFLORIMONTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-491-4478"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.