Samera, Scott Brian

Samera, Scott Brian is an sole proprietor health care provider with primary practice located at 404 Nw Hall Of Fame Dr , Lake City FL 32055-4833. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Samera, Scott Brian can be contacted via phone (386) 758-3668.

Contact Information

Primary practice address
404 Nw Hall Of Fame Dr Lake City FL 32055-4833
Phone: (386) 758-3668
Fax: (386) 758-2032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3510 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3510 Florida

Profile Details

NPI number 1508145905
LBN Legal business name Samera, Scott Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2011
Last updated Jan 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508145905 NPPES
Florida MEDICAID 005511400

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