Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baptist Neurology Inc

Organization Neurology Physician · NPI 1104058874

Baptist Neurology Inc is a Neurology Physician in Jacksonville Beach, Florida. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1370 13th Ave S Ste 215
Jacksonville Beach, FL 32250-3206
Phone: (904) 249-1041
Fax: (904) 249-9764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104058874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyrone McCloud — Manager, Credentials · (904) 202-5367
NPI enumeratedAugust 14, 2009
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing addressPo Box 746649, Atlanta, GA 30374-6649

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