BAPTIST NEUROLOGY INC NPI 1124956958

NPI Information

  • NPI: 1124956958
  • Provider Name: BAPTIST NEUROLOGY INC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 1370 13TH AVE S STE 118
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 398-5407

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NPI Details

BAPTIST NEUROLOGY INC is a neurology psychiatry neurology in Jacksonville Beach, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BAPTIST NEUROLOGY INC NPI is 1124956958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1370 13TH AVE S STE 118
JACKSONVILLE BEACH, FL
ZIP 32250-206
Phone: (904) 398-5407
Fax: (904) 391-5779

The provider's authorized official is Tyrone Mccloud .
The authorized official title is Manager, Credentials and has the following contact phone number (904) 202-5367.

The enumeration date for this NPI number is 5/12/2026 and was last updated on 5/12/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
32084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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