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Lyerly Baptist INC

Orthopaedic Surgery in Fleming Island, FL. Organization (NPI-2).

NPI number1982437745
StatusActive
Last updated in NPPESJun 2, 2026

Details

NPI
1982437745
Entity type
Organization (NPI-2)
Legal business name
Lyerly Baptist INC
Organization subpart
No
Enumeration date
Aug 26, 2024
Certification date
Jun 2, 2026
Last updated
Jun 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
363L00000X Nurse Practitioner––
207T00000X Neurological Surgery––
207QS0010X Family Medicine, Sports Medicine––
213E00000X Podiatrist––
213ES0103X Podiatrist, Foot & Ankle Surgery––
363A00000X Physician Assistant––

Practice location

1747 Baptist Clay Dr Ste 200
Fleming Island, FL 32003-8505

Phone 904-516-1950 · Fax 904-376-3062

Mailing address

Po Box 746647
Atlanta, GA 30374-6647

Phone 904-202-2092 · Fax 904-376-4075

Authorized official

Tyrone McCloud
Executive Director
9042025367

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