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SCOTT B. SAMERA, DPM, PA, LLC - Florida Company Profile

Company Details

Entity Name: SCOTT B. SAMERA, DPM, PA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SCOTT B. SAMERA, DPM, PA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 30 Aug 2011 (14 years ago)
Document Number: L11000099500
FEI/EIN Number 453131318

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 404 NW HALL OF FAME DR, LAKE CITY, FL, 32055, US
Mail Address: 404 NW HALL OF FAME DR, LAKE CITY, FL, 32055, US
ZIP code: 32055
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386989010 2012-12-06 2012-12-06 PO BOX 846, BRANFORD, FL, 320080846, US 404 NW HALL OF FAME DR, LAKE CITY, FL, 320554833, US

Contacts

Phone +1 386-935-1093

Authorized person

Name DR. SCOTT BRIAN SAMERA
Role PRESIDENT/OWNER
Phone 3869351093

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3510
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMERA FOOT AND ANKLE 401(K) 2023 453131318 2024-07-10 SCOTT B SAMERA DPM PA LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621391
Sponsor’s telephone number 3867583668
Plan sponsor’s address 404 NW HALL OF FAME DRIVE, FLOOR 2, LAKE CITY, FL, 32055
SAMERA FOOT AND ANKLE 401(K) 2022 453131318 2023-10-10 SCOTT B SAMERA DPM PA LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621391
Sponsor’s telephone number 3867583668
Plan sponsor’s address 404 NW HALL OF FAME DRIVE, FLOOR 2, LAKE CITY, FL, 32055

Key Officers & Management

Name Role Address
SAMERA SCOTT B Owner PO BOX 846, BRANFORD, FL, 32008
SAMERA DANIELLE E Officer PO BOX 846, BRANFORD, FL, 32008
SAMERA SCOTT B Agent 303 SUWANNEE AVE, BRANFORD, FL, 32008

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000074831 SAMERA/ FOOT+ANKLE EXPIRED 2013-07-26 2018-12-31 - PO BOX 846, BRANFORD, FL, 32008

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-09-16 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 -
CHANGE OF PRINCIPAL ADDRESS 2017-03-15 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8174658407 2021-02-13 0491 PPS 404 NW Hall of Fame Dr, Lake City, FL, 32055-4833
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 44533.12
Loan Approval Amount (current) 44533.12
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124053
Servicing Lender Name Millennium Bank
Servicing Lender Address 6392 Artesian Cir, OOLTEWAH, TN, 37363-7295
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lake City, COLUMBIA, FL, 32055-4833
Project Congressional District FL-03
Number of Employees 6
NAICS code 621391
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 124053
Originating Lender Name Millennium Bank
Originating Lender Address OOLTEWAH, TN
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 44738.47
Forgiveness Paid Date 2021-08-04
9975717007 2020-04-09 0491 PPP 404 NW Hall of Fame Drive, Lake City, FL, 32055-4833
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 44533.12
Loan Approval Amount (current) 44533.12
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124053
Servicing Lender Name Millennium Bank
Servicing Lender Address 6392 Artesian Cir, OOLTEWAH, TN, 37363-7295
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lake City, COLUMBIA, FL, 32055-4833
Project Congressional District FL-03
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17221
Originating Lender Name Millennium Bank
Originating Lender Address Lake City, FL
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 44927.73
Forgiveness Paid Date 2021-03-03

Date of last update: 01 Apr 2025

Sources: Florida Department of State