Healthcare Provider Details

I. General information

NPI: 1174516736
Provider Name (Legal Business Name): ROYAL DENISE THOMPSON-KRONZ CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date: 03/23/2006
Reactivation Date: 04/12/2006

III. Provider practice location address

1307 S PINE AVE
OCALA FL
34471-6543
US

IV. Provider business mailing address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

V. Phone/Fax

Practice location:
  • Phone: 352-368-2238
  • Fax: 352-368-5042
Mailing address:
  • Phone: 407-975-0406
  • Fax: 407-975-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR889528
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN9427229
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: