Scott B. Samera, DPM, PA, LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Branford, FL
NPI 1043591936 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1043591936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- PO3510 (FL)
- Legal business name
- SCOTT B. SAMERA, DPM, PA, LLC
- Practice address
- 303 Suwannee Ave NW
Branford, FL 32008-3275 - Phone
- (386) 935-1093
- NPI assigned
- Sep 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Scott Samera, DPM
- Title
- Podiatrist
- Phone
- (386) 935-1093
Subparts reporting this organization as parent 1
Practitioners 1
-
Scott Brian Samera, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111021000466 | FL | Part B Supplier - Clinic/Group Practice | 1850564659 |
Receives reassigned benefits from 1 practitioner Practice locations: Lake City, FL; Branford, FL |
National Provider Directory
Locations
404 NW Hall of Fame Dr
#2
Lake City, FL 32055
404 NW Hall of Fame Dr
Fl 2
Lake City, FL 32055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | PO3510 | FL | Yes |
Addresses
Primary practice location
303 Suwannee Ave NW
Branford, FL 32008-3275
Mailing address
PO Box 846
Branford, FL 32008-0846
Phone (386) 935-1093
Other providers in Branford, FL
- Melanie L Kemmerer, DMD, PLLC
- North Florida Pharmacy of Branford Inc
- Jessie L Peterson
- Stephanie Danielle Ruise
- Bienvenido Samera
- Rodney Lee Scyphers
- Kali Sharpe
- Darya Smith
- Gigi Yvette Smoak
- Raymond Spears
All providers in Branford, FL · Foot & Ankle Surgery Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.