MEDICARE: COURTNEY CROLEY PUMAROL DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	OS23163	FL

General Provider Information

NPI Number	:	1568111623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY CROLEY PUMAROL DO

Provider Business Mailing Address
First Line	:	3133 SW 32ND AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-4494
Country	:	US
Telephone Number	:	352-237-8400
Fax Number	:	352-237-7266

Provider Business Practice Location Address
First Line	:	3133 SW 32ND AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-4494
Country	:	US
Telephone Number	:	352-237-8400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	05/18/2026

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