# NEWSOM COSMETICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376896324
- **Authorized official:** THOMAS H NEWSOM M.D. (MGRM)
- **Authorized official phone:** (813) 908-2020

## Contact information

- **Practice address:** 13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
- **Practice address phone:** (813) 908-2020
- **Mailing address:** 13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
- **Mailing address phone:** (813) 908-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | NULL | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 10/16/2012