LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA

JACKSONVILLE, FL
NPI1588742977
Entity TypeOrganization
Authorized ContactCHONGLUN XIE
Md
904-636-9510
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME92689)
Enumeration Date2006-11-01
Last Update Date2018-09-21
Business Address
LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA
5757 BOOTH RD. #200
JACKSONVILLE, FL 32207
Phone number: 904-636-9510
Mailing Address
LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA
5757 BOOTH RD BLDG 200
JACKSONVILLE, FL 32207-5981
Phone number: 904-636-9510
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