Active NPI
Michelle M Bandurka, CNP
- Family Nurse Practitioner
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9459264
- Practice address
- 3311 Daniels Rd Ste 104
Winter Garden, FL 34787-7000 - Phone
- (407) 743-0351
- Fax
- (407) 743-0352
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9459264 | FL | Primary |
Addresses
Primary practice location
3311 Daniels Rd Ste 104
Winter Garden, FL 34787-7000
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3012797 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3311 Daniels Rd
Suite 104
Winter Garden, FL 34787-7000
Phone (407) 743-0351
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rmed LLC | Current | Accepting new patients | |
| Rmed LLC | Multi-Specialty | Current | Accepting new patients |
| Florida Medical Associates LLC | Multi-Specialty | Current | Accepting new patients |
Locations
4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
3311 Daniels Rd
Ste 104
Winter Garden, FL 34787
Phone (407) 656-0990
941 W Morse Blvd
Ste 100
Winter Park, FL 32789
Phone (321) 207-9029
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- michelle.bandurka@sl.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
Multi-Specialty
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205476793
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1619093366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "727-322-3439",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 DANIELS RD STE 104",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347877000",
"telephone_number": "407-743-0351",
"fax_number": "407-743-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDURKA",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9459264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3012797",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.