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

Code values:
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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