Older, Jay Justin

Older, Jay Justin is an individual health care provider with primary practice located at 4444 E Fletcher Ave Ste D , Tampa FL 33613-4905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Older, Jay Justin can be contacted via phone (813) 971-3846.

Contact Information

Primary practice address
4444 E Fletcher Ave Ste D Tampa FL 33613-4905
Phone: (813) 971-3846
Fax: (813) 977-2611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME21356 Florida
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X ME21356 Florida

Profile Details

NPI number 1477531432
LBN Legal business name Older, Jay Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Sep 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477531432 NPPES
Florida Other ME0021356 STATE LICENSE #
Florida Other 1036672011 STATE LICENSE #
Florida Other 29789 STATE LICENSE #
Florida Other 181907220 STATE LICENSE #
Florida Other 624179 STATE LICENSE #

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