Organization
NEWSOM COSMETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H NEWSOM M.D. (MGRM)
(813) 908-2020
Entity
Organization
Contact information
Practice address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
Mailing address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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