DR. BENJAMIN JARED GUBERNICK (NPI# 1669851457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669851457 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN JARED GUBERNICK |
| Credential | D.D.S |
| Practice Address |
2700 E Bay Dr Largo FL 33771-2468 |
| Practice Telephone | 7275363400 |
| Mailing Telephone | 7275363400 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2700 E BAY DR |
| City | LARGO |
| State | FL |
| Zip Code | 33771-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601591 | Peter Miles Mason | Podiatrist | 2700 E Bay Dr, Suite 100, Largo, FL 33771-2468 | 2006-03-06 |
| 1982957312 | Ryan Mcfadden | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2012-10-23 |
| 1033439971 | Kristie Lynn Johnson | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2010-06-02 |
| 1780914689 | Adam Vincent Bergman | Dentist | 2700 E Bay Dr, Suite 106, Largo, FL 33771-2468 | 2009-12-28 |
| 1497982912 | Joshua A Wyatt | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2009-06-11 |
| 1821270380 | Jude Medical Clinic LLC | Clinic/Center | 2700 E Bay Dr, Ste 101, Largo, FL 33771-2468 | 2007-11-27 |
| 1356548960 | Todd Patrick Williams | Dentist | 2700 E Bay Dr, Suite 204, Largo, FL 33771-2468 | 2007-06-27 |
| 1972709939 | Harley Scott Bellack | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2007-06-26 |
| 1710182555 | Stephen Carroll Warner Sr. | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2007-06-20 |
| 1720283583 | John James Feeney | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970822 | Keys2health LLC | Nurse Practitioner | 1050 Starkeyrd. Unit 606, Largo, FL 33771 | 2020-07-23 |
| 1194210906 | Agape Gem Care LLC | In Home Supportive Care | 2945 E Bay Dr Ste A, Largo, FL 33771 | 2018-06-25 |
| 1487162723 | Aim Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 8380 Ulmerton Rd Ste 302, Largo, FL 33771 | 2018-01-22 |
| 1629511720 | Jane Maguire Inc | Counselor | 1101 Belcher Rd. S., Suite J., Largo, FL 33771 | 2016-11-22 |
| 1477890283 | Celisa K Bonner | Social Worker | 13787 Belcher Road S., Suite 220, Largo, FL 33771 | 2013-01-14 |
| 1619283330 | Mary J. Martin | Counselor | 1101 S. Belcher Rd, Suite E, Largo, FL 33771 | 2010-08-19 |
| 1578796538 | Miguel Messina | Counselor | 1501 S. Belcher Rd, Suite B-4, Largo, FL 33771 | 2009-08-25 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1104060391 | Letitia A Mcintosh-reid | Behavioral Analyst | 940 Starkey Road, # 3105, Largo, FL 33771 | 2009-05-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| Find all providers in zip 33771 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540966 | Rachel Rohr | Student in an Organized Health Care Education/Training Program | 11203 Hammock Dr, Largo, FL 33774-4510 | 2019-04-05 |
| 1396232955 | Taylor E Edwards | Student in an Organized Health Care Education/Training Program | 201 14th St Sw Fl 33770, Largo, FL 33770-3133 | 2018-04-19 |
| 1104320043 | Esam Khalifa | Student in an Organized Health Care Education/Training Program | 12812 Lake Dr, Largo, FL 33774-3138 | 2018-03-23 |
| 1992334544 | Rohini Singh | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-06 |
| 1174152532 | Parth Sanjeev Patel | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-06 |
| 1255960183 | Jenny Susan Mathew | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-03 |
| 1295363331 | Hamza Saqib Khan | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-01 |
| 1558999698 | Sara Emmalyn P. Andrews | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-01 |
| 1316575863 | Zain Abidi | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-03-31 |
| 1912535253 | Joseph Jennings Mcleroy | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-03-31 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.