Organization
BAPTIST NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE MCCLOUD (EXECUTIVE DIRECTOR)
(904) 202-5367
Entity
Organization
Contact information
Practice address
1660 PRUDENTIAL DR STE 320, JACKSONVILLE, FL 32207-8197
(904) 376-3707
(904) 391-5001
Mailing address
PO BOX 746649, ATLANTA, GA 30374-6649
(904) 376-3707
(904) 391-5001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
FL
2084V0102X
Vascular Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026927-00
—
FL
01
—
DR0092
RAILROAD MEDICARE
FL
Enumeration date
07/24/2009
Last updated
01/29/2026
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