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Lighthouse Internal Medicine and Primary Care PA

Internal Medicine Physician in Jacksonville, FL · enumerated 2006 · authorized official Chonglun Xie, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588742977

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Registry record

Entity type Organization (Type 2)
Legal business name Lighthouse Internal Medicine and Primary Care PA
Practice address 5757 Booth Rd., #200, Jacksonville, FL, 32207
Phone (904) 636-9510
Fax (904) 636-9512
Enumeration date Nov 1, 2006
Last updated in NPPES Sep 21, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License ME92689 (FL) Primary

Authorized official

Name Chonglun Xie
Title MD
Phone (904) 636-9510

Other identifiers

Identifier Type State Issuer
009831900 Medicaid FL -
40311 Other FL BCBS FL
273938100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-21. Verify at npiregistry.cms.hhs.gov.
Where is Lighthouse Internal Medicine and Primary Care PA located?
The practice location on file with NPPES is in Jacksonville, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-21.