Active NPI
Carmine Gipson, MD
- Family Medicine Physician
- Ocoee, FL
National Provider Identifier
1649278979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME76607
- Practice address
- 175 N Bluford Ave
Ocoee, FL 34761-2216 - Phone
- (888) 644-1448
- Fax
- (407) 877-2166
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | ME76607 | FL | Primary |
Addresses
Primary practice location
175 N Bluford Ave
Ocoee, FL 34761-2216
Mailing address
7400 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 352-9717
Other practice location 1
176 E 5th St
Apopka, FL 32703-5314
Phone (888) 644-1448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51619T | Other | FL | MEDICARE PTAN |
| 263481300 | Medicaid | FL |
Other names 1
- Carmine Blaise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Risk Solutions | Family Medicine | Past | Accepting new patients |
| Community Health Centers, Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1710259965
-
- Family Medicine Physician
- Ocoee, FL
- NPI 1255969259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1649278979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 DOCS GROVE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198010",
"telephone_number": "407-352-9717",
"fax_number": "407-354-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N BLUFORD AVE",
"city": "OCOEE",
"state": "FL",
"postal_code": "347612216",
"telephone_number": "888-644-1448",
"fax_number": "407-877-2166"
}
],
"practiceLocations": [
{
"address_1": "176 E 5th St",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327035314",
"country_code": "US",
"telephone_number": "888-644-1448",
"fax_number": "407-886-6541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIPSON",
"first_name": "CARMINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME76607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "51619T",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263481300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARMINE",
"last_name": "BLAISE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.