| Lyerly Baptist Inc | |
|
1370 13th Ave S Suite 215 Jacksonville Beach FL 32250-3230 | |
| (904) 249-1041 | |
| (904) 249-9764 |
| Full Name | Lyerly Baptist Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1370 13th Ave S, Jacksonville Beach, Florida |
| Authorized Official Name and Position | John Wilbanks (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9043764275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyerly Baptist Inc 1370 13th Ave S Suite 215 Jacksonville Beach FL 32250-3230 Ph: (904) 249-1041 | Lyerly Baptist Inc 1370 13th Ave S Suite 215 Jacksonville Beach FL 32250-3230 Ph: (904) 249-1041 |
| NPI Number | 1336476795 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336476795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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