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Organization

LYERLY BAPTIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYRONE MCCLOUD (EXECUTIVE DIRECTOR)
(904) 202-5367
Entity
Organization

Contact information

Practice address
1370 13TH AVE S, SUITE 215, JACKSONVILLE BEACH, FL 32250-3230
(904) 249-1041
(904) 249-9764
Mailing address
1370 13TH AVE S STE 118, JACKSONVILLE BEACH, FL 32250-3206
(904) 388-6518
(904) 384-1005

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/05/2009
Last updated
03/03/2026
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