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

Lyerly Baptist Inc

Organization Obesity Medicine (Family Medicine) Physician · NPI 1366262032

Lyerly Baptist Inc is an Obesity Medicine (Family Medicine) Physician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337
Phone: (904) 202-1795
Fax: (904) 376-3478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X

Record details

NPI number1366262032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Holloway — Executive Director · (904) 202-5378
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing addressPo Box 746647, Atlanta, GA 30374-6647

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