Organization · Type 2 NPI

Lyerly Baptist Inc

Sports Medicine (Internal Medicine) Physician · Jacksonville, FL

NPI number 1174493357 Active

Practice location

11851 Stillwood Pines Blvd, Suite 207
Jacksonville, FL 32224-4435

Call (904) 202-6683 Map

Fax (904) 376-3062

Mailing address

PO Box 746647
Atlanta, GA 30374-6647

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Internal Medicine) Physician Primary	207RS0010X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Orthopaedic Hand Surgery Physician	207XS0106X	None listed
Surgery of the Hand (Surgery) Physician	2086S0105X	None listed

Sports Medicine (Internal Medicine) Physician: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psycho…

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About NPI 1174493357

Lyerly Baptist Inc's National Provider Identifier is 1174493357, issued on Nov 11, 2025. The primary taxonomy on file is Sports Medicine (Internal Medicine) Physician (207RS0010X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 9, 2026.