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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) 202-5367
Entity
Organization

Contact information

Practice address
11236 BAPTIST HEALTH DR STE 330&340, JACKSONVILLE, FL 32218-2980
(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
Primary
207X00000X
Orthopaedic Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
08/11/2025
Last updated
10/24/2025
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