| Bienvenido M. Samera, M.d., P.a. | |
|
303 Suwannee Ave Nw Branford FL 32008-3275 | |
| (386) 935-1093 | |
| (386) 935-3113 |
| Full Name | Bienvenido M. Samera, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 303 Suwannee Ave Nw, Branford, Florida |
| Authorized Official Name and Position | Bienvenido M Samera (PRESIDENT) |
| Authorized Official Contact | 3869351093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bienvenido M. Samera, M.d., P.a. Po Box 846 Branford FL 32008-0846 Ph: (386) 935-1093 | Bienvenido M. Samera, M.d., P.a. 303 Suwannee Ave Nw Branford FL 32008-3275 Ph: (386) 935-1093 |
| NPI Number | 1740590751 |
|---|---|
| Provider Enumeration Date | 10/12/2010 |
| Last Update Date | 10/26/2010 |
| Medicare PECOS PAC ID | 2668655747 |
|---|---|
| Medicare Enrollment ID | O20110328000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740590751 | NPI | - | NPPES |
| 038392900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0028682 (Florida) | Primary |
| Provider Name | Bienvenido M Samera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639199243 PECOS PAC ID: 9638352719 Enrollment ID: I20110328000308 |
Three Rivers Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Suwannee Ave Nw, Branford, FL 32008 Phone: 386-935-1607 Fax: 386-935-1667 | |
Trenton Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 U.s. Highway 27 Sw, Branford, FL 32008 Phone: 386-935-3090 Fax: 386-935-3198 | |
Branford Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Suwannee Ave Nw, Branford, FL 32008 Phone: 386-935-1093 Fax: 386-935-3113 |