| Entity Name: | SCOTT B. SAMERA, DPM, PA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Aug 2011 (13 years ago) |
| Document Number: | L11000099500 |
| FEI/EIN Number | 453131318 |
| 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 |
| 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 | |||||||||||||||||
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| 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 |
| 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 | |||||||||||||
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| SAMERA FOOT AND ANKLE 401(K) | 2022 | 453131318 | 2023-10-10 | SCOTT B SAMERA DPM PA LLC | 9 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| SAMERA SCOTT B | Agent | 303 SUWANNEE AVE, BRANFORD, FL, 32008 |
| Name | Role | Address |
|---|---|---|
| SAMERA SCOTT B | Owner | PO BOX 846, BRANFORD, FL, 32008 |
| Name | Role | Address |
|---|---|---|
| SAMERA DANIELLE E | Officer | PO BOX 846, BRANFORD, FL, 32008 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000074831 | SAMERA/ FOOT+ANKLE | EXPIRED | 2013-07-26 | 2018-12-31 | No data | PO BOX 846, BRANFORD, FL, 32008 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-09-16 | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-15 | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| 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 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
