Healthcare Provider Details

I. General information

NPI: 1568111623
Provider Name (Legal Business Name): COURTNEY CROLEY PUMAROL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COURTNEY RACHEL CROLEY DO

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 SW 32ND AVE
OCALA FL
34474-4494
US

IV. Provider business mailing address

3133 SW 32ND AVE
OCALA FL
34474-4494
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-8400
  • Fax:
Mailing address:
  • Phone: 352-237-8400
  • Fax: 352-237-7266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberOS23163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: