Active NPI
Samuel L Weldon, DO
- Family Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 111584
- Practice address
- 2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857 - Phone
- (239) 343-3831
- NPI assigned
- Apr 26, 2023
- Last updated
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 111584 | GA | Primary |
| Family Medicine Physician | 207Q00000X | OS21713 | FL |
Addresses
Primary practice location
2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Mailing address
2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Phone (239) 343-3831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126292200 | Medicaid | FL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Lake Erie Col of Osteopathic Medicine, Bradenton, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2780 Cleveland Ave
Suite 709
Fort Myers, FL 33901-5857
Phone (239) 343-3831
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS21713 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Family Medicine | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1682 NE Pine Island Rd
Cape Coral, FL 33909
Phone (239) 424-1600
2441 Surfside Blvd
Ste 200
Cape Coral, FL 33914
Phone (239) 541-7500
23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150
3501 Health Center Blvd
Ste 1050
Estero, FL 34135
Phone (239) 468-0260
13340 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 343-0490
2780 Cleveland Ave
Ste 709
Fort Myers, FL 33901
Phone (239) 343-2551
4771 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 343-9800
8960 Colonial Center Dr
Ste 300
Fort Myers, FL 33905
Phone (239) 343-9470
9131 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 343-9100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1184312233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 CLEVELAND AVE STE 709",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015857",
"telephone_number": "239-343-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 CLEVELAND AVE STE 709",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015857",
"telephone_number": "239-343-3831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "SAMUEL",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-26",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "111584",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS21713",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126292200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.