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Organization

NEWSOM EYE & LASER CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS H NEWSOM MD (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
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CJ5796
RAILROAD MEDICARE
01
K2730
PTAN
FL
Enumeration date
09/27/2005
Last updated
01/05/2021
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