Organization

Lyerly Baptist Inc

Neurology Physician in Jacksonville Beach, FL(View on Map)

Legal Business Name

Lyerly Baptist Inc

NPI Number

1336476795

NPI Type

Organization

Enumeration Date

11/05/2009

Specialties

(Taxonomies)

Code

2084N0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1370 13TH AVE S
1370 13TH AVE S

City

Jacksonville Beach
Jacksonville Beach

State

FL
FL

Postal Code

32250-3230
32250-3230

Country

US
US

Telephone Number

(904) 249-1041
(904) 249-1041

Authorized Official

Name

John Wilbanks

Title or Position

CHIEF OPERATING OFFICER

Telephone Number

(904) 376-4275

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2009

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