Organization
BAPTIST NEUROLOGY INC
Active
Organization
BAPTIST NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE MCCLOUD (DIRECTOR)
(904) 202-5367
Entity
Organization
Contact information
Practice address
11525 VILLAGE CROSSING DR STE 1101, JACKSONVILLE, FL 32256-3169
(904) 730-3689
(904) 730-3688
Mailing address
PO BOX 746649, ATLANTA, GA 30374-6649
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/06/2020
Last updated
08/07/2026
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