Lyerly Baptist Inc

LBN: Lyerly Baptist Inc
Lyerly Baptist Inc is an health care organization with primary practice located at 1650 Prudential Dr Ste 200 , Jacksonville FL 32207-8149. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Neurocritical Care, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Lyerly Baptist Inc can be contacted via phone (904) 388-6518, or through Mccloud, Tyrone via phone (904) 202-5367.

Contact Information

Primary practice address
1650 Prudential Dr Ste 200 Jacksonville FL 32207-8149
Phone: (904) 388-6518
Fax: (904) 384-1005
Website:
Map and Directions
Authorized official contact:
Name: Mccloud, Tyrone
Phone: (904) 202-5367

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1851347801
LBN Legal business name Lyerly Baptist Inc
DBA Doing business as
Authorized official Mccloud, Tyrone
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Apr 23rd, 2026 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851347801 NPPES
Florida MEDICAID 274381700

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