| NPI | 1376896324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H NEWSOM Mgrm 813-908-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |