Lighthouse Internal Medicine And Primary Care Pa in Jacksonville - Internal Medicine
Lighthouse Internal Medicine And Primary Care Pa - NPI 1588742977
Lighthouse Internal Medicine And Primary Care Pa is a Internal Medicine in Jacksonville, Florida. Lighthouse Internal Medicine And Primary Care Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lighthouse Internal Medicine And Primary Care Pa is 1588742977. The last update date is 2018-09-21.
Lighthouse Internal Medicine And Primary Care Pa's current location address is 5757 Booth Rd Bldg 200, Jacksonville, Florida. You can contact this provider via phone number 9046369510 and fax number 9046369512. The mailing address for Lighthouse Internal Medicine And Primary Care Pa is 5757 Booth Rd Bldg 200, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lighthouse Internal Medicine And Primary Care Pa |
|---|---|
| Address | 5757 Booth Rd Bldg 200, Jacksonville, Florida |
| Phone Number | 9046369510 |
| Fax Number | 9046369512 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Xie Chonglun |
| Telephone Number | 9046369510 |
NPI Number Detail
| NPI Number | 1588742977 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2018-09-21 |
Provider Mailing Address Detail
| Address | 5757 Booth Rd Bldg 200 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322075981 |
| Phone Number | 9046369510 |
| Fax Number | 9046369512 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 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 di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9831900 | FL | -- | |
| 40311 | FL | BCBS FL | |
| 273938100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lighthouse Internal Medicine And Primary Care Pa by the Centers for Medicare & Medicaid Services?
The Lighthouse Internal Medicine And Primary Care Pa has been assigned the NPI (National Provider Identifier) 1588742977 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lighthouse Internal Medicine And Primary Care Pa is located?
The Lighthouse Internal Medicine And Primary Care Pa is situated at the following address: 5757 Booth Rd Bldg 200, Jacksonville, FL, 322075981.
What is Lighthouse Internal Medicine And Primary Care Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lighthouse Internal Medicine And Primary Care Pa is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Lighthouse Internal Medicine And Primary Care Pa receive its 1588742977 assignment from the Centers for Medicare & Medicaid Services?
The Lighthouse Internal Medicine And Primary Care Pa was assigned its 1588742977 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Lighthouse Internal Medicine And Primary Care Pa most recently updated or revised?
The details related to Lighthouse Internal Medicine And Primary Care Pa, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-21.
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