| Entity Name: | WISECARE OF FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Oct 2008 (16 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 15 Jul 2013 (12 years ago) |
| Document Number: | P08000090523 |
| FEI/EIN Number | 263508502 |
| Address: | 3501 13TH STREET, ST. CLOUD, FL, 34769 |
| Mail Address: | 3501 13TH STREET, ST. CLOUD, FL, 34769 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447498688 | 2009-01-27 | 2015-03-26 | 3501 13TH ST, SAINT CLOUD, FL, 347694054, US | 3501 13TH ST, SAINT CLOUD, FL, 347694054, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-891-6463 |
| Fax | 4078910213 |
Authorized person
| Name | AHMED AIDOO |
| Role | PHYSICIAN/OWNER |
| Phone | 4078916463 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 96098 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| License Number | ME96098 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225400000X - Rehabilitation Practitioner |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WALKER GARY ESQ. | Agent | 202 S. ROME AVENUE, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| AIDOO AHMED QMD, MPH | Chief Executive Officer | 3501 13TH STREET, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| AHMED AIDOO QMD, MPH | Secretary | 3501 13TH STREET, ST. CLOUD, FL, 34769 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000106213 | ALL FLORIDA FAMILY SPORTS MEDICINE | EXPIRED | 2015-10-19 | 2020-12-31 | No data | C/O WISECARE OF FLORIDA, P.A., 3501 13TH STREET, ST. CLOUD, FL, 34769 |
| G13000078944 | ALL FLORIDA FAMILY & SPORTS MEDICINE | ACTIVE | 2013-08-08 | 2028-12-31 | No data | 3501 13TH STREET, SAINT CLOUD, FL, 34769 |
| G09043900411 | MY CARE PLACE | EXPIRED | 2009-02-12 | 2014-12-31 | No data | 3501 13TH STREET, ST. CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2013-07-15 | WISECARE OF FLORIDA, P.A. | No data |
| NAME CHANGE AMENDMENT | 2012-12-21 | ALL FLORIDA FAMILY & SPORTS MEDICINE, P.A. | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-09 | WALKER, GARY, ESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-09 | 202 S. ROME AVENUE, SUITE 100, TAMPA, FL 33606 | No data |
| AMENDMENT AND NAME CHANGE | 2009-02-09 | WISECARE OF FLORIDA, P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-05 | 3501 13TH STREET, ST. CLOUD, FL 34769 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-05 | 3501 13TH STREET, ST. CLOUD, FL 34769 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000812652 | TERMINATED | 1000000490301 | ORANGE | 2013-04-15 | 2033-04-24 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J13000247164 | TERMINATED | 1000000413691 | ORANGE | 2012-12-05 | 2033-01-30 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-09-21 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
