Organization
SCOTT B. SAMERA, DPM, PA, LLC
Active
Parent organization
SCOTT B. SAMERA, DPM, PA, LLC
Other names
SCOTT B. SAMERA, DPM, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT B. SAMERA, DPM, PA, LLC
Authorized official
DR. SCOTT BRIAN SAMERA DPM (PRESIDENT/OWNER)
(386) 935-1093
Entity
Organization
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 935-1093
Mailing address
PO BOX 846, BRANFORD, FL 32008-0846
(386) 935-1093
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3510
FL
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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