IndividualActive
Jay Older, MD
NPI 1477531432 · Ophthalmic Plastic and Reconstructive Surgery Physician · Tampa, FL
Provider details
- NPI number
- 1477531432
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME21356 (FL)
Practice location
4444 E Fletcher Ave Ste D
Tampa, FL 33613-4905
Phone: (813) 971-3846
Fax: (813) 977-2611
Mailing address
4444 E Fletcher Ave Ste D
Tampa, FL 33613-4905
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2018-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.