Organization · Type 2 NPI

Lyerly Baptist Inc

Neurological Surgery Physician · Jacksonville, FL

NPI number 1720869068 Active

Practice location

14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419

Fax (904) 384-1005

Mailing address

PO Box 746647
Atlanta, GA 30374-6647

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Neurology Physician 2084N0400XNone listed
Nurse Practitioner 363L00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1720869068

Lyerly Baptist Inc's National Provider Identifier is 1720869068, issued on Oct 12, 2023. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 3, 2026.