Individual
DR. SCOTT BRIAN SAMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 758-3668
(386) 758-2032
Mailing address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 758-3668
(386) 758-2032
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3510
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005511400
—
FL
Enumeration date
08/16/2011
Last updated
01/06/2022
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