Gubernick, Samuel

Gubernick, Samuel is an individual health care provider with primary practice located at 13145 66Th St N , Largo FL 33773. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Gubernick, Samuel can be contacted via phone (727) 530-0700.

Contact Information

Primary practice address
13145 66Th St N Largo FL 33773
Phone: (727) 530-0700
Fax: (727) 530-0777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X OS5550 Florida
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X OS5550 Florida

Profile Details

NPI number 1518916972
LBN Legal business name Gubernick, Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518916972 NPPES
Florida MEDICAID 372468900

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