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LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA
NPI 1588742977
Internal Medicine in Jacksonville, FL

Active since November 01, 2006
5757 BOOTH RD., #200, JACKSONVILLE, FL 32207(904) 636-9510(904) 636-9512 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse Internal Medicine And Primary Care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA (NPI 1588742977) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since November 2006. The organization lists Chonglun Xie, Md, as its authorized official.

NPPES Registry Identity

NPI1588742977
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA
Location Address5757 BOOTH RD., #200Jacksonville, FL 32207
Mailing Address5757 Booth Rd Bldg 200Jacksonville, FL 32207-5981 · (904) 636-9510 · Fax (904) 636-9512
Phone(904) 636-9510
Fax(904) 636-9512
Organization SubpartNo
Authorized OfficialChonglun XieMd · (904) 636-9510
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 21, 2018
✔ NPI 1588742977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME92689
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5757 BOOTH RD., Jacksonville, FL 32207
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Other Identifiers 3

Medicaid009831900FL
Medicaid273938100FL
Other40311FL · Bcbs Fl

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Internal Medicine And Primary Care PA's NPI number?

The NPI number for Lighthouse Internal Medicine And Primary Care PA is 1588742977. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Lighthouse Internal Medicine And Primary Care PA located?

Lighthouse Internal Medicine And Primary Care PA is located at 5757 Booth Rd. #200, Jacksonville, FL 32207. The listed phone number is (904) 636-9510.

What is Lighthouse Internal Medicine And Primary Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Lighthouse Internal Medicine And Primary Care PA accept?

Health plans from AvMed and Molina Healthcare list Lighthouse Internal Medicine And Primary Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lighthouse Internal Medicine And Primary Care PA was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.