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Contact Information

LYERLY BAPTIST INC
851042 US HIGHWAY 17 STE A
YULEE, FL32097-2845
 Phone: 904-202-6683
 Fax: 904-376-3062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LYERLY BAPTIST INC

NPI # 1700775483
LBN Legal business name LYERLY BAPTIST INC
Authorized official TYRONE MCCLOUD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2025
Last updated 12/26/2025 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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