| Entity Name: | WANDERING MICHELLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Apr 2021 (4 years ago) |
| Document Number: | L21000179364 |
| FEI/EIN Number | 83-2283327 |
| Address: | 4208 IDLEWILD DRIVE, FRUITLAND PARK, FL, 34731, US |
| Mail Address: | 4208 IDLEWILD DRIVE, FRUITLAND PARK, FL, 34731, US |
| ZIP code: | 34731 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114528874 | 2020-11-07 | 2024-05-29 | 4208 IDLEWILD DR, FRUITLAND PARK, FL, 347315638, US | 4208 IDLEWILD DR, FRUITLAND PARK, FL, 347315638, US | |||||||||||||
|
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| Phone | +1 407-491-4478 |
Authorized person
| Name | MICHELLE C DEFLORIMONTE |
| Role | OWNER |
| Phone | 4074914478 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEFLORIMONTE MICHELLE | Agent | 4208 IDLEWILD DR, FRUITLAND PARK, FL, 34731 |
| Name | Role | Address |
|---|---|---|
| DEFLORIMONTE MICHELLE | Authorized Member | 4208 IDLEWILD DRIVE, FRUITLAND PARK, FL, 34731 |
| Name | Role | Address |
|---|---|---|
| DEFLORIMONTE MICHELLE | Manager | 4208 IDLEWILD DRIVE, FRUITLAND PARK, FL, 34731 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-09 | 4208 IDLEWILD DR, FRUITLAND PARK, FL 34731 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-10 | 4208 IDLEWILD DRIVE, FRUITLAND PARK, FL 34731 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-10 | 4208 IDLEWILD DRIVE, FRUITLAND PARK, FL 34731 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-09 |
| Florida Limited Liability | 2021-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
