NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104206994 |   |   |   | NEWSOM EYE & LASER CENTER, INC. | 13904 N DALE MABRY HWY | TAMPA | FL | 336182446 |
1194711978 |   |   |   | REJUVENATION CENTER LLC | 13904 N DALE MABRY HWY | TAMPA | FL | 336182446 |
1699223974 | MARK | JESSICA |   |   | 13904 N DALE MABRY HWY STE 200 | TAMPA | FL | 336182446 |