# SAMUEL GUBERNICK DO PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GUBERNICK ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780877829
- **Authorized official:** DR. SAMUEL GUBERNICK D.O. (PRESIDENT)
- **Authorized official phone:** (727) 530-0700

## Contact information

- **Practice address:** 13145 66TH ST, LARGO, FL 33773-1812
- **Practice address phone:** (727) 530-0700
- **Practice address fax:** (727) 530-0777
- **Mailing address:** 13145 66TH ST, LARGO, FL 33773-1812
- **Mailing address phone:** (727) 530-0700
- **Mailing address fax:** (727) 530-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | OS5550 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 11/13/2007