# SCOTT B. SAMERA, DPM, PA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SCOTT B. SAMERA, DPM, PA, LLC
- **Other names:** SCOTT B. SAMERA, DPM, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386989010
- **Legal business name:** SCOTT B. SAMERA, DPM, PA, LLC
- **Authorized official:** DR. SCOTT BRIAN SAMERA DPM (PRESIDENT/OWNER)
- **Authorized official phone:** (386) 935-1093

## Contact information

- **Practice address:** 404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
- **Practice address phone:** (386) 935-1093
- **Mailing address:** PO BOX 846, BRANFORD, FL 32008-0846
- **Mailing address phone:** (386) 935-1093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3510 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012