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Widlyne Florissant

Physician β€’ Wimauma, FL

Deactivated NPI 1760136246 Deactivated in NPPES Female Practitioner
Practice location in NPPES

15410 Winter Breeze Ln
Wimauma, FL 335982219

Phone: 8138506663

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 11, 2024; the reason is not published. The records below are historical. They do not show whether Widlyne Florissant currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date February 04, 2022
NPI Deactivation Date June 11, 2024
NPI Active Period 2022 – 2024

Practice Location & Contact Primary Location

Practice Address

15410 Winter Breeze Ln

Wimauma, FL 335982219

Telephone 8138506663
Organization at the Same NPPES Address or Phone
Felycia Llc Facility NPI 1780435560

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Wimauma and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 11, 2024

NPPES lists this NPI as deactivated as of June 11, 2024; the reason is not published.

βœ…
NPI Profile Active February 04, 2022

NPI status registered as active in NPPES database

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Practice Location (Initial Record) February 04, 2022

Registered at 15410 WINTER BREEZE LN, WIMAUMA, FL 335982219 (Tel: 8138506663)

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Business Mailing Address (Initial Record) February 04, 2022

Registered at 15410 WINTER BREEZE LN, WIMAUMA, FL 335982219 (Tel: 8138506663)

πŸ‘€
Provider Name / Credentials (Initial Record) February 04, 2022

Recorded as WIDLYNE FLORISSANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Assisted Living Facility

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Initial NPI Registration & Enumeration February 04, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760136246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2022
Last Update: February 04, 2022
Deactivation Date: June 11, 2024

Mailing Address

15410 Winter Breeze Ln

Wimauma, FL 335982219

Phone: 8138506663

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.