Organization
BAPTIST NEUROLOGY INC
Active
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
841 PRUDENTIAL DR FL 10, JACKSONVILLE, FL 32207-8329
(904) 398-5404
(904) 391-5545
Mailing address
PO BOX 746649, ATLANTA, GA 30374-6649
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/20/2009
Last updated
07/27/2026
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