Provider Demographics
NPI:1841290103
Name:CENTRAL FLORIDA EYE INSTITUTE PL
Entity type:Organization
Organization Name:CENTRAL FLORIDA EYE INSTITUTE PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:CROLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-237-8400
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL817261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL690OtherBCBSFL ASC ID
FLP00158097OtherRR MEDICARE ASC ID
FLF1088Medicare ID - Type UnspecifiedASC PROVIDER ID