Healthcare Provider Details

I. General information

NPI: 1841290103
Provider Name (Legal Business Name): CENTRAL FLORIDA EYE INSTITUTE PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 SW 32ND AVE
OCALA FL
34474-4446
US

IV. Provider business mailing address

3133 SW 32ND AVE
OCALA FL
34474-4446
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-8400
  • Fax: 352-237-7190
Mailing address:
  • Phone: 352-237-8400
  • Fax: 352-237-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number817
License Number StateFL

VIII. Authorized Official

Name: DR. THOMAS LLOYD CROLEY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 352-237-8400