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LYERLY BAPTIST INC NPI 1336476795


NPI Information

NPI: 1336476795
Provider Name: LYERLY BAPTIST INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1370 13TH AVE S
SUITE 215
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 249-1041
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LYERLY BAPTIST INC is a neurology psychiatry neurology in Jacksonville Beach, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LYERLY BAPTIST INC NPI is 1336476795. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1370 13TH AVE S
SUITE 215
JACKSONVILLE BEACH, FL
ZIP 32250-230
Phone: (904) 249-1041
Fax: (904) 249-9764

The provider's authorized official is John Wilbanks .
The authorized official title is Chief Operating Officer and has the following contact phone number (904) 376-4275.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 11/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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