SAMUEL GUBERNICK D.O.
Allergy and Immunology
Largo, Florida
Provider NPI: 1518916972
Provider Information:SAMUEL GUBERNICK D.O.
Practice Location:
13145 66TH ST N LARGO, FL 33773 US
Tel: 727-530-0700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 2080P0201X | Physicians Pediatrics Pediatric Allergy & Immunology | FL | OS5550 |
Y | 207K00000X | Physicians Allergy & Immunology | FL | OS5550 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
372468900 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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