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 Internal Medicine Physician · NPI 1922849439

Fau Broward Health Academic Practice Plan Inc is an Internal Medicine Physician in Lighthouse Point, 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

2100 E Sample Rd Ste 101
Lighthouse Point, FL 33064-7574
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

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1922849439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Capote — Md/Ceo · (954) 786-6449
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address2100 E Sample Rd Ste 101, Lighthouse Point, FL 33064-7574

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