| Adrienne Lightbourne, MD | |
|
12295 Taft St, Pembroke Pines, FL 33026-1900 | |
| (954) 447-7774 | |
| Not Available |
| Full Name | Adrienne Lightbourne |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 12295 Taft St, Pembroke Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407221740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | ME181858 (Florida) | Primary |
| Entity Name | UCSF Pediatrics Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
| Entity Name | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Adrienne Lightbourne, MD 12295 Taft St, Pembroke Pines, FL 33026-1900 Ph: (954) 447-7774 | Adrienne Lightbourne, MD 12295 Taft St, Pembroke Pines, FL 33026-1900 Ph: (954) 447-7774 |
Jerry Chan-hsiang Chih, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Hiatus Rd Ste 105, Pembroke Pines, FL 33026 Phone: 954-431-8000 Fax: 954-436-0449 |
Phillip E Burns, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 208 N University Dr, Pembroke Pines, FL 33024 Phone: 954-432-3888 Fax: 954-432-1165 |
Maximo Raul Aguirre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12295 Taft St, Pembroke Pines, FL 33026 Phone: 954-447-7774 Fax: 954-447-7505 |
Maria R Aleyas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Hiatus Rd Ste 105, Pembroke Pines, FL 33026 Phone: 954-431-8000 Fax: 954-436-0449 |
Dr. Roverto Varela, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1278 Nw 192nd Ter, Pembroke Pines, FL 33029 Phone: 954-436-1171 |
Gary J Lieberman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026 Phone: 954-431-8000 Fax: 954-436-0449 |
Stephanie N Urban-galvez, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 18425 Pines Blvd, Pembroke Pines, FL 33029 Phone: 954-430-9300 Fax: 954-450-2833 |