Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Suwannee
    4. ›
  4. 32008
    5. ›
  5. BRANFORD FAMILY MEDICAL CENTER, INC.

BRANFORD FAMILY MEDICAL CENTER, INC.

Company Details

Entity Name: BRANFORD FAMILY MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Apr 1992 (33 years ago)
Document Number: V27555
FEI/EIN Number 593186467
Address: 303 SUWANNEE AVE NW, BRANFORD, FL, 32008, US
Mail Address: P.O. BOX 846, 303 SUWANNEE AVENUE, BRANFORD, FL, 32008, US
ZIP code: 32008
County: Suwannee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730377045 2007-10-11 2010-06-29 303 SUWANNEE AVE NW, BRANFORD, FL, 320083275, US 303 SUWANNEE AVE NW, BRANFORD, FL, 320083275, US

Contacts
Phone +1 386-935-1093
Fax 3869353113

Authorized person
Name MRS. VIRGINIA V SAMERA
Role PRESIDENT
Phone 3869351093

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME0028682
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2022 591933132 2024-03-13 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2024-03-13
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2021 591933132 2023-04-11 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2020 591933132 2022-02-18 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2022-02-18
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-18
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2019 591933132 2020-09-24 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2018 591933132 2020-03-16 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2020-03-16
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-16
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2017 591933132 2018-10-04 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing BIENVENIDO M. SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing BIENVENIDO M. SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2016 591933132 2018-02-22 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2018-02-22
Name of individual signing VIRGINIA SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2015 591933132 2017-03-08 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2017-03-08
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-08
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BIENVENIDO SAMERA, M. D. , P. A. NEW COMPARABILIT 401(K) PROFIT SHARING PLAN 2014 591933132 2015-12-10 BRANFORD FAMILY MEDICAL CENTER 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANEE AVENUE, P.O. BOX 846, BRANFORD, FL, 320080846

Signature of
Role Plan administrator
Date 2015-12-10
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BIENVENIDO SAMERA, M.D., P.A., NEW COMPARABILITY 401(K) PROFIT SHARING PLAN 2013 591933132 2014-12-10 BRANFORD FAMILY MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVENUE, P.O. BOX 846, BRANFORD, FL, 320080846

Plan administrator’s name and address
Administrator’s EIN 591933132
Plan administrator’s name BRANFORD FAMILY MEDICAL CENTER
Plan administrator’s address 303 SUWANEE AVE., P.O. BOX 846, BRANFORD, FL, 320080846
Administrator’s telephone number 3869353179

Signature of
Role Plan administrator
Date 2014-12-10
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SAMERA, VIRGINIA Agent 303 SUWANNEE AVE NW, BRANFORD, FL, 32008

Director

Name Role Address
SAMERA VIRGINIA Director 303 SUWANNEE AVE, BRANFORD, FL, 32008

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1995-10-10 BRANFORD FAMILY MEDICAL CENTER, INC. No data

Related by officers

No related officers

Related by address

303 SUWANNEE AVE NW, BRANFORD, FL, 32008, US

BIENVENIDO SAMERA, M.D., P.A.

Date of last update: 02 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated