Organization Active NPI

Wisecare of Florida, P.a.

Doing business as All Florida Family & Sports Medicine, P.A.

  • Sports Medicine (Family Medicine) Physician
  • Saint Cloud, FL
National Provider Identifier
1447498688
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME96098 Issued in FL
Legal business name
WISECARE OF FLORIDA, P.A.
Doing business as
All Florida Family & Sports Medicine, P.A.
Practice address
3501 13TH St
Saint Cloud, FL 34769-4054
Phone
(407) 891-6463
NPI assigned
Jan 27, 2009
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Ahmed Aidoo, MD, MPHNPI 1205856705
Title
Physician/Owner
Phone
(407) 891-6463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 96098 FL
Adult Medicine Physician 207QA0505X NU
Sports Medicine (Family Medicine) Physician 207QS0010X ME96098 FL Primary
Rehabilitation Practitioner 225400000X FL

Addresses

Primary practice location

3501 13TH St
Saint Cloud, FL 34769-4054

Mailing address

3501 13TH St
Saint Cloud, FL 34769-4054
Phone (407) 891-6463

Other names 1

  • All Florida Family & Sports Medicine, P.A. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090625000404 FL Part B Supplier - Clinic/Group Practice 3870644222 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Cloud, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1096557All Florida Family and Sports Medicine3501 13TH St, Saint Cloud, FL 34769Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

3501 13th St
Saint Cloud, FL 34769
Phone (407) 233-7854

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1447498688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694054",
            "telephone_number": "407-891-6463",
            "fax_number": "407-891-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694054",
            "telephone_number": "407-891-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISECARE OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "AIDOO",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-891-6463",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 96098",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME96098",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Florida Family & Sports Medicine, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.