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Organization

NEWSOM EYE & LASER CENTER, INC.

Active
Parent organization
NEWSOM EYE & LASER CENTER, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEWSOM EYE & LASER CENTER, INC.
Authorized official
DR. THOMAS HUNTER NEWSOM M.D. (PRESIDENT)
(813) 908-2020
Entity
Organization

Contact information

Practice address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Mailing address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
FL
207W00000X
Ophthalmology Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271214802
FL
05
271214804
FL
Enumeration date
09/16/2015
Last updated
01/05/2021
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