Provider Demographics
NPI:1568460780
Name:AZNEER, JAY BARRY (DO)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:BARRY
Last Name:AZNEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 BRYAN DAIRY RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1353
Mailing Address - Country:US
Mailing Address - Phone:727-541-4426
Mailing Address - Fax:727-546-8753
Practice Address - Street 1:8250 BRYAN DAIRY RD
Practice Address - Street 2:SUITE 310
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1353
Practice Address - Country:US
Practice Address - Phone:727-541-4426
Practice Address - Fax:727-546-8753
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8813207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274466000Medicaid
FL47958ZMedicare ID - Type Unspecified
FLE46000Medicare UPIN