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Organization

LYERLY BAPTIST INC

Active
Other names
Baptist Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
TYRONE MCCLOUD (EXECUTIVE DIRECTOR)
(904) 202-6683
Entity
Organization

Contact information

Practice address
1348 S 18TH ST STE 200, FERNANDINA BEACH, FL 32034-4785
(904) 202-6683
(904) 376-3062
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
207RS0010X
Sports Medicine (Internal Medicine) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician

Other

Enumeration date
10/08/2025
Last updated
03/03/2026
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