Provider Demographics
NPI:1992724686
Name:CROLEY, THOMAS L (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:CROLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3133 SW 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4446
Mailing Address - Country:US
Mailing Address - Phone:352-237-8400
Mailing Address - Fax:352-237-7190
Practice Address - Street 1:3133 SW 32ND AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4446
Practice Address - Country:US
Practice Address - Phone:352-237-8400
Practice Address - Fax:352-237-7190
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0048124207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00093643OtherPALMETTO GBA
FL42208OtherBCBS INDIVIDUAL PROV #
FLD62435Medicare UPIN
FLP00093643OtherPALMETTO GBA