Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fau Broward Health Academic Practice Plan Inc

Organization Surgery Physician · NPI 1386486264

Fau Broward Health Academic Practice Plan Inc is a Surgery Physician in Deerfield Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 W Sample Rd Ste 207
Deerfield Beach, FL 33064-3547
Phone: (954) 958-7195
Fax: (954) 958-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1386486264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Capote — Md/Ceo · (954) 786-6449
NPI enumeratedJune 11, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address2100 E Sample Rd Ste 101, Lighthouse Point, FL 33064-7574

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