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Jay Justin Older, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Tampa, Florida
NPI 1477531432

Jay Justin Older is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Tampa, FL and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Jay Justin Older practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Jay Justin Older is 1477531432 and holds a License No. ME21356 (Florida).

The current practice location address for Jay Justin Older is 4444 E Fletcher Ave Ste D, Tampa, FL and can be reached out via phone at 813-971-3846 and via fax at 813-977-2611.

Location: 4444 E Fletcher Ave Ste D, Tampa, FL, 33613-4905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477531432
Provider Name
Jay Justin Older
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4444 E Fletcher Ave Ste D, Tampa, FL, 33613-4905
Phone Number
813-971-3846
Fax Number
813-977-2611
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME0021356 01 FL STATE LICENSE #
1036672011 01 FL CIGNA
29789 01 FL BCBS INDIVIDUAL #
181907220 01 FL RAILROAD MEDICARE
624179 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
4444 E Fletcher Ave Ste D
City
Tampa
State
Florida
Zip
33613-4905
Phone Number
813-971-3846
Fax Number
813-977-2611
person
Provider Business Mailing Address Details
Address
4444 E Fletcher Ave Ste D
City
Tampa
State
Florida
Zip
33613-4905
Phone Number
813-971-3846
Fax Number
813-977-2611
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
ME21356 (Florida)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
ME21356 (Florida)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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