Individual
BAYLI BRIANA WALDROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7017 A C SKINNER PKWY, JACKSONVILLE, FL 32256-6932
(813) 401-0628
Mailing address
6650 CORPORATE CENTER PKWY, JACKSONVILLE, FL 32216-0988
(813) 401-0628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9112754
FLORIDA PHYSICIAN ASSISTANT LICENSE
FL
Enumeration date
12/22/2019
Last updated
12/10/2025
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